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Oklahoma
UNIFORM APPLICATION
FY2011
SUBSTANCE ABUSE PREVENTION AND TREATMENT
BLOCK GRANT
42 U.S.C.300x-21 through 300x-66
OMB - Approved 07/20/2010 - Expires 07/31/2013
(generated on 10/1/2010 12:07:53 PM)
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
Center for Substance Abuse Prevention
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Introduction:
The Substance Abuse Prevention and Treatment Block Grant represents a significant Federal
contribution to the States’ substance abuse prevention and treatment service budgets. The Public
Health Service Act [42 USC 300x-21 through 300x-66] authorizes the Substance Abuse Prevention
and Treatment Block Grant and specifies requirements attached to the use of these funds. The
SAPT Block Grant funds are annually authorized under separate appropriation by Congress. The
Public Health Service Act designates the Center for Substance Abuse Treatment and the Center
for Substance Abuse Prevention as the entities responsible for administering the SAPT Block Grant
program.
The SAPT Block Grant application format provides the means for States to comply with the
reporting provisions of the Public Health Service Act (42 USC 300x-21-66), as implemented by the
Interim Final Rule (45 CFR Part 96, part XI). With regard to the requirements for Goal 8, the
Annual Synar Report format provides the means for States to comply with the reporting provisions
of the Synar Amendment (Section 1926 of the Public Health Service Act), as implemented by the
Tobacco Regulation for the SAPT Block Grant (45 CFR Part 96, part IV).
Public reporting burden for this collection of information is estimated to average 454 hours per
respondent for Sections I-III, 40 hours per respondent for Section IV-A and 42.75 hours per
respondent for Section IV-B, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection
of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to SAMHSA Reports
Clearance Officer; Paperwork Reduction Project (OMB No. 0930-0080), 1 Choke Cherry Road,
Room 7-1042, Rockville, Maryland 20857. An agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it displays a currently valid OMB
control number. The OMB control number for this project is OMB No. 0930-0080.
The Web Block Grant Application System (Web BGAS) has been developed to facilitate States’
completion, submission and revision of their Block Grant application. The Web BGAS can be
accessed via the World Wide Web at http://bgas.samhsa.gov.
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Form 1
DUNS Number: 933662934-
Uniform Application for FY 2011-13 Substance Abuse Prevention and Treatment Block Grant
I. State Agency to be the Grantee for the Block Grant:
Agency
Name:
Oklahoma Department of Mental Health and Substance
Abuse Services
Organizational
Unit: Substance Abuse Services
Mailing
Address: P. O. Box 53277
City: Oklahoma City, OK Zip Code: 73152-3277
II. Contact Person for the Grantee of the Block Grant:
Name: Terri White, MSW, Commissioner and Secretary of
Health
Agency
Name:
Oklahoma Department of Mental Health and Substance
Abuse Services
Mailing
Address: P. O. Box 53277
City: Oklahoma City, OK Code: 73152-3277
Telephone: (405) 522-3877 FAX: (405) 522-0637
Email
Address: tlwhite@odmhsas.org
III. State Expenditure Period:
From: 7/1/2009 To: 6/30/2010
IV. Date Submitted:
Date: Original: Revision:
V. Contact Person Responsible for Application Submission:
Name: Mary Hagerty Telephone: (405) 522-3859
Email
Address: mhagerty@odmhsas.org FAX: (405) 522-3767
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Form 2 (Table of Contents)
Form 1 pg.3
Form 2 pg.4
Form 3 pg.5
1. Planning pg.15
Planning Checklist pg.34
Form 4 (formerly Form 8) pg.35
Form 5 (formerly Form 9) pg.37
How your State determined the
estimates for Form 4 and Form 5
(formerly Forms 8 and 9)
pg.38
Form 6 (formerly Form 11) pg.42
Form 6ab (formerly Form 11ab) pg.43
Form 6c (formerly Form 11c) pg.44
Purchasing Services pg.45
PPM Checklist pg.46
Form 7 pg.47
Goal #1:Improving access to
prevention and treatment services pg.48
Goal #2: Providing Primary
Prevention services pg.65
Goal #3: Providing specialized
services for pregnant women and
women with dependent children
pg.88
Programs for Pregnant Women and
Women with Dependent Children
(formerly Attachment B)
pg.94
Goal #4: Services to intravenous drug
abusers pg.102
Programs for Intravenous Drug Users
(IVDUs) ( formerly Attachment C) pg.109
Program Compliance Monitoring
(formerly Attachment D) pg.113
Goal #5: TB Services pg.116
Goal #6: HIV Services pg.120
Tuberculosis (TB) and Early
Intervention Services for HIV (formerly
Attachment E)
pg.124
Goal #7: Development of Group
Homes pg.128
Group Home Entities and Programs
(formerly Attachment F) pg.133
Goal #8: Tobacco Products pg.138
Goal #9: Pregnant Women
Preferences pg.140
Capacity Management and Waiting
List Systems (formerly Attachment G) pg.147
Goal #10: Process for Referring pg.151
Goal #11: Continuing Education pg.158
Goal #12: Coordinate Services pg.165
Goal #13: Assessment of Need pg.175
Goal #14: Hypodermic Needle
Program pg.189
Charitable Choice (formerly
Attachment I) pg.215
Waivers (formerly Attachment J) pg.217
Waivers pg.218
Form 8 (formerly Form 4) pg.221
Form 8ab (formerly Form 4ab) pg.222
Form 8c (formerly Form 4c) pg.223
Form 9 (formerly Form 6) pg.224
Provider Address Table pg.231
Form 9a (formerly Form 6a) pg.235
Form 10a (formerly Form 7a) pg.244
Form 10b (formerly Form 7b) pg.245
Description of Calculations pg.246
SSA (MOE Table I) pg.249
TB (MOE Table II) pg.251
HIV (MOE Table III) pg.253
Womens (MOE TABLE IV) pg.255
Form T1 pg.256
Form T2 pg.258
Form T3 pg.260
Form T4 pg.262
Form T5 pg.267
Form T6 pg.272
Form T7 pg.274
Treatment Performance Measures
(Overall Narrative) pg.276
Corrective Action Plan for Treatment
NOMS pg.281
Form P1 pg.283
Form P2 pg.284
Form P3 pg.285
Form P4 pg.286
Form P5 pg.287
Form P6 pg.288
Form P7 pg.289
Form P8 pg.290
Form P9 pg.291
Form P10 pg.292
Form P11 pg.293
P-Forms 12a- P-15 – Reporting
Period pg.294
Form P12a pg.295
Form P12b pg.297
Form P13 (Optional) pg.298
Form P14 pg.299
Form P15 pg.300
Corrective Action Plan for Prevention
NOMS pg.301
Prevention Attachments A, B, and C
(optional) pg.303
Prevention Attachment D (optional) pg.304
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Goal #15: Independent Peer Review pg.193
Independent Peer Review (formerly
Attachment H) pg.201
Goal #16: Disclosure of Patient
Records pg.205
Goal #17: Charitable Choice pg.210
Prevention Attachment D (optional) pg.304
Description of Supplemental Data pg.306
Attachment A, Goal 2 pg.308
Addendum - Additional Supporting
Documents (Optional) pg.310
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FORM 3: UNIFORM APPLICATION FOR FY 2011 SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK
GRANT
Funding Agreements/Certifications
as required by Title XIX, Part B, Subpart II and Subpart III of the Public Health Service (PHS) Act
c Title XIX, Part B, Subpart II and Subpart III of the PHS Act, as amended, requires the chief executive officer
(or an authorized designee) of the applicant organization to certify that the State will comply with the following
specific citations as summarized and set forth below, and with any regulations or guidelines issued in
conjunction with this Subpart except as exempt by statute.
SAMHSA will accept a signature on this form as certification of agreement to comply with the cited provisions of
the PHS Act. If signed by a designee, a copy of the designation must be attached.
I. Formula Grants to States, Section 1921
Grant funds will be expended “only for the purpose of planning, carrying out, and evaluating
activities to prevent and treat substance abuse and for related activities” as authorized.
II. Certain Allocations, Section 1922
 Allocations Regarding Primary Prevention Programs, Section 1922(a)
 Allocations Regarding Women, Section 1922(b)
III. Intravenous Drug Abuse, Section 1923
 Capacity of Treatment Programs, Section 1923(a)
 Outreach Regarding Intravenous Substance Abuse, Section 1923(b)
IV. Requirements Regarding Tuberculosis and Human Immunodeficiency Virus, Section 1924
V. Group Homes for Recovering Substance Abusers, Section 1925
Optional beginning FY 2001 and subsequent fiscal years. Territories as described in Section 1925(c)
are exempt.
The State “has established, and is providing for the ongoing operation of a revolving fund” in
accordance with Section 1925 of the PHS Act, as amended. This requirement is now optional.
VI. State Law Regarding Sale of Tobacco Products to Individuals Under Age of 18, Section 1926
 The State has a law in effect making it illegal to sell or distribute tobacco products to minors as
provided in Section 1926 (a)(1).
 The State will enforce such law in a manner that can reasonably be expected to reduce the extent to
which tobacco products are available to individuals under the age of 18 as provided in Section 1926
(b)(1).
 The State will conduct annual, random unannounced inspections as prescribed in Section 1926 (b)(2).
VII. Treatment Services for Pregnant Women, Section 1927
The State “…will ensure that each pregnant woman in the State who seeks or is referred for and
would benefit from such services is given preference in admission to treatment facilities receiving
funds pursuant to the grant.”
VIII. Additional Agreements, Section 1928
 Improvement of Process for Appropriate Referrals for Treatment, Section 1928(a)
 Continuing Education, Section 1928(b)
 Coordination of Various Activities and Services, Section 1928(c)
 Waiver of Requirement, Section 1928(d)
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FORM 3: UNIFORM APPLICATION FOR FY 2011 SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK
GRANT
Funding Agreements/Certifications
As required by Title XIX , Part B, Subpart II and Subpart III of the PHS Act (continued)
IX. Submission to Secretary of Statewide Assessment of Needs, Section 1929
X. Maintenance of Effort Regarding State Expenditures, Section 1930
With respect to the principal agency of a State, the State “will maintain aggregate State expenditures
for authorized activities at a level that is not less than the average level of such expenditures
maintained by the State for the 2-year period preceding the fiscal year for which the State is
applying for the grant.”
XI. Restrictions on Expenditure of Grant, Section 1931
XII. Application for Grant; Approval of State Plan, Section 1932
XIII. Opportunity for Public Comment on State Plans, Section 1941
The plan required under Section 1932 will be made “public in such a manner as to facilitate
comment from any person (including any Federal person or any other public agency) during the
development of the plan (including any revisions) and after the submission of the plan to the
Secretary.”
XIV. Requirement of Reports and Audits by States, Section 1942
XV. Additional Requirements, Section 1943
XVI. Prohibitions Regarding Receipt of Funds, Section 1946
XVII. Nondiscrimination, Section 1947
XVIII. Services Provided By Nongovernmental Organizations, Section 1955
I hereby certify that the State or Territory will comply with Title XIX, Part B, Subpart II and
Subpart III of the Public Health Service Act, as amended, as summarized above, except for those
Sections in the Act that do not apply or for which a waiver has been granted or may be granted by
the Secretary for the period covered by this agreement.
State:
Name of Chief Executive Officer or Designee:
Signature of CEO or Designee:
Title: Date Signed:
If signed by a designee, a copy of the designation must be attached
Oklahoma
Terri White, MSW
Commissioner and Secretary of Health
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1. CERTIFICATION REGARDING
DEBARMENT AND SUSPENSION
The undersigned (authorized official signing for the
applicant organization) certifies to the best of his or
her knowledge and belief, that the applicant, defined
as the primary participant in accordance with 45
C.F.R. Part 76, and its principals:
(a) are not presently debarred, suspended,
proposed for debarment, declared ineligible,
or voluntarily excluded from covered
transactions by any Federal Department or
agency;
(b) have not within a 3-year period preceding this
proposal been convicted of or had a civil
judgment rendered against them for
commission of fraud or a criminal offense in
connection with obtaining, attempting to
obtain, or performing a public (Federal, State,
or local) transaction or contract under a public
transaction; violation of Federal or State
antitrust statutes or commission of
embezzlement, theft, forgery, bribery,
falsification or destruction of records, making
false statements, or receiving stolen property;
(c) are not presently indicted or otherwise
criminally or civilly charged by a
governmental entity (Federal, State, or local)
with commission of any of the offenses
enumerated in paragraph (b) of this
certification; and
(d) have not within a 3-year period preceding this
application/proposal had one or more public
transactions (Federal, State, or local)
terminated for cause or default.
Should the applicant not be able to provide this
certification, an explanation as to why should be
placed after the assurances page in the application
package.
The applicant agrees by submitting this proposal
that it will include, without modification, the clause
titled "Certification Regarding Debarment,
Suspension, In eligibility, and Voluntary Exclusion
– Lower Tier Covered Transactions" in all lower
tier covered transactions (i.e., transactions with sub-grantees
and/or contractors) and in all solicitations
for lower tier covered transactions in accordance
with 45 C.F.R. Part 76.
2. CERTIFICATION REGARDING DRUG-FREE
WORKPLACE REQUIREMENTS
The undersigned (authorized official signing for the
applicant organization) certifies that the applicant will,
or will continue to, provide a drug-free work-place in
accordance with 45 C.F.R. Part 76 by:
(a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, dispensing,
possession or use of a controlled substance is
prohibited in the grantee’s workplace and specifying
the actions that will be taken against employees for
violation of such prohibition;
(b) Establishing an ongoing drug-free awareness
program to inform employees about –
(1) The dangers of drug abuse in the workplace;
(2) The grantee’s policy of maintaining a drug-free
workplace;
(3) Any available drug counseling, rehabilitation,
and employee assistance programs; and
(4) The penalties that may be imposed upon
employees for drug abuse violations occurring in the
workplace;
(c) Making it a requirement that each employee to be
engaged in the performance of the grant be given a
copy of the statement required by paragraph (a)
above;
(d) Notifying the employee in the statement required by
paragraph (a), above, that, as a condition of
employment under the grant, the employee will –
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her
conviction for a violation of a criminal drug statute
occurring in the workplace no later than five
calendar days after such conviction;
(e) Notifying the agency in writing within ten calendar
days after receiving notice under paragraph (d)(2)
from an employee or otherwise receiving actual
notice of such conviction. Employers of convicted
employees must provide notice, including position
title, to every grant officer or other designee on
whose grant activity the convicted employee was
working, unless the Federal agency has designated a
central point for the receipt of such notices. Notice
shall include the identification number(s) of each
affected grant;
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(f) Taking one of the following actions, within
30 calendar days of receiving notice under
paragraph (d) (2), with respect to any
employee who is so convicted –
(1) Taking appropriate personnel action
against such an employee, up to and
including termination, consistent with
the requirements of the Rehabilitation
Act of 1973, as amended; or
(2) Requiring such employee to participate
satisfactorily in a drug abuse assistance
or rehabilitation program approved for
such purposes by a Federal, State, or
local health, law enforcement, or other
appropriate agency;
(g) Making a good faith effort to continue to
maintain a drug-free workplace through
implementation of paragraphs (a), (b), (c),
(d), (e), and (f).
For purposes of paragraph (e) regarding agency
notification of criminal drug convictions, the DHHS
has designated the following central point for receipt
of such notices:
Office of Grants and Acquisition Management
Office of Grants Management
Office of the Assistant Secretary for Management and
Budget
Department of Health and Human Services
200 Independence Avenue, S.W., Room 517-D
Washington, D.C. 20201
3. CERTIFICATION REGARDING LOBBYING
Title 31, United States Code, Section 1352, entitled
"Limitation on use of appropriated funds to
influence certain Federal contracting and financial
transactions," generally prohibits recipients of
Federal grants and cooperative agreements from
using Federal (appropriated) funds for lobbying the
Executive or Legislative Branches of the Federal
Government in connection with a SPECIFIC grant
or cooperative agreement. Section 1352 also
requires that each person who requests or receives a
Federal grant or cooperative agreement must
disclose lobbying undertaken with non-Federal
(non-appropriated) funds. These requirements
apply to grants and cooperative agreements
EXCEEDING $100,000 in total costs (45 C.F.R.
Part 93).
The undersigned (authorized official signing for the
applicant organization) certifies, to the best of his or
her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or
will be paid, by or on behalf of the under signed, to
any person for influencing or attempting to influence
an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection
with the awarding of any Federal contract, the
making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract,
grant, loan, or cooperative agreement.
(2) If any funds other than Federally appropriated funds
have been paid or will be paid to any person for
influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal
contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard
Form-LLL, "Disclosure of Lobbying Activities, "in
accordance with its instructions. (If needed, Standard
Form-LLL, "Disclosure of Lobbying Activities," its
instructions, and continuation sheet are included at
the end of this application form.)
(3) The undersigned shall require that the language of
this certification be included in the award documents
for all subawards at all tiers (including subcontracts,
sub-grants, and contracts under grants, loans and
cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact
upon which reliance was placed when this transaction
was made or entered into. Submission of this
certification is a prerequisite for making or entering
into this transaction imposed by Section 1352, U.S.
Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for
each such failure.
4. CERTIFICATION REGARDING PROGRAM
FRAUD CIVIL REMEDIES ACT (PFCRA)
The undersigned (authorized official signing for the
applicant organization) certifies that the statements
herein are true, complete, and accurate to the best of
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his or her knowledge, and that he or she is aware
that any false, fictitious, or fraudulent statements or
claims may subject him or her to criminal, civil, or
administrative penalties. The undersigned agrees
that the applicant organization will comply with the
Public Health Service terms and conditions of
award if a grant is awarded as a result of this
application.
5. CERTIFICATION REGARDING
ENVIRONMENTAL TOBACCO SMOKE
Public Law 103-227, also known as the Pro-
Children Act of 1994 (Act), requires that smoking
not be permitted in any portion of any indoor
facility owned or leased or contracted for by an
entity and used routinely or regularly for the
provision of health, day care, early childhood
development services, education or library
services to children under the age of 18, if the
services are funded by Federal programs either
directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee.
The law also applies to children’s services that are
provided in indoor facilities that are constructed,
operated, or maintained with such Federal funds.
The law does not apply to children’s services
provided in private residence, portions of facilities
used for inpatient drug or alcohol treatment,
service providers whose sole source of applicable
Federal funds is Medicare or Medicaid, or
facilities where WIC coupons are redeemed.
Failure to comply with the provisions of the law may
result
in the imposition of a civil monetary penalty of up to
$1,000 for each violation and/or the imposition of an
administrative compliance order on the responsible
entity.
By signing the certification, the undersigned certifies
that the applicant organization will comply with the
requirements of the Act and will not allow smoking
within any portion of any indoor facility used for the
provision of services for children as defined by the Act.
The applicant organization agrees that it will require
that the language of this certification be included in any
subawards which contain provisions for children’s
services and that all subrecipients shall certify
accordingly.
The Public Health Service strongly encourages all grant
recipients to provide a smoke-free workplace and
promote the non-use of tobacco products. This is
consistent with the PHS mission to protect and advance
the physical and mental health of the American people.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
APPLICANT ORGANIZATION DATE SUBMITTED
Commissioner and Secretary of Health
Oklahoma Department of Mental Health and Substance Abuse Services
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DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure.)
1. Type of Federal Action: 2. Status of Federal Action 3. Report Type:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
a. bid/offer/application
b. initial award
c. post-award
a. initial filing
b. material change
For Material Change Only:
Year
Quarter
date of last report
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and
Address of Prime:
Prime Subawardee
Tier , if known:
Congressional District, if known: Congressional District, if known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known: 9. Award Amount, if known:
$
10. a. Name and Address of Lobbying Entity
(if individual, last name, first name, MI):
b. Individuals Performing Services (including address if different
from No. 10a.) (last name, first name, MI):
11. Information requested through this form is authorized by
title 31 U.S.C. Section 1352. This disclosure of lobbying
activities is a material representation of fact upon which
reliance was placed by the tier above when this transaction
was made or entered into. This disclosure is required
pursuant to 31 U.S.C. 1352. This information will be
reported to the Congress semi-annually and will be
available for public inspection. Any person who fails to file
the required disclosure shall be subject to a civil penalty of
not less than $10,000 and not more than $100,000 for each
such failure.
Signature:
Print Name:
Title:
Telephone No.: Date:
Federal Use Only: Authorized for Local Reproduction
Standard Form - LLL (Rev. 7-97)
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DISCLOSURE OF LOBBYING ACTIVITIES
CONTINUATION SHEET
Reporting Entity: Page of
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INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation
or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. Section 1352. The
filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting
to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional
information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change
report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the
outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the
information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last
previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known.
Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward
recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include
but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks “subawardee”, then enter the full name, address, city, state and zip
code of the prime Federal recipient. Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level
below agency name, if known. For example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of
Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 [e.g., Request
for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan
award number; the application/proposal control number assigned by the Federal agency]. Include prefixes, e.g., ‘‘RFP-DE-
90-001.’’
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the
Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified
in item 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a).
Enter Last Name, First Name, and Middle Initial (MI).
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying
entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that
apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information
unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No.0348-
0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction
Project (0348-0046), Washington, DC 20503.
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ASSURANCES – NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction
Project (0348-0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact
the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional
assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance,
and the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share of
project costs) to ensure proper planning, management
and completion of the project described in this
application.
2. Will give the awarding agency, the Comptroller General of
the United States, and if appropriate, the State, through
any authorized representative, access to and the right to
examine all records, books, papers, or documents related
to the award; and will establish a proper accounting
system in accordance with generally accepted accounting
standard or agency directives.
3. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. §§4728-4763) relating to prescribed
standards for merit systems for programs funded under
one of the nineteen statutes or regulations specified in
Appendix A of OPM’s Standard for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to:
(a) Title VI of the Civil Rights Act of 1964 (P.L.88-352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. §§1681-
1683, and 1685- 1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act
of 1973, as amended (29 U.S.C. §§794), which prohibits
discrimination on the basis of handicaps; (d) the Age
Discrimination Act of 1975, as amended (42 U.S.C.
§§6101-6107), which prohibits discrimination on the basis
of age;
(e) the Drug Abuse Office and Treatment Act of 1972
(P.L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f) the
Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290
ee-3), as amended, relating to confidentiality of
alcohol and drug abuse patient records; (h) Title VIII
of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et
seq.), as amended, relating to non- discrimination in
the sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is
being made; and (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
7. Will comply, or has already complied, with the
requirements of Title II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P.L. 91-646) which provide for
fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or
federally assisted programs. These requirements
apply to all interests in real property acquired for
project purposes regardless of Federal participation
in purchases.
8. Will comply with the provisions of the Hatch Act (5
U.S.C. §��1501-1508 and 7324-7328) which limit the
political activities of employees whose principal
employment activities are funded in whole or in part
with Federal funds.
9. Will comply, as applicable, with the provisions of the
Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the
Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874),
and the Contract Work Hours and Safety Standards
Act (40 U.S.C. §§327- 333), regarding labor
standards for federally assisted construction
subagreements.
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10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in
the program and to purchase flood insurance if the total
cost of insurable construction and acquisition is $10,000
or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the
National Environmental Policy Act of 1969 (P.L. 91-190)
and Executive Order (EO) 11514; (b) notification of
violating facilities pursuant to EO 11738; (c) protection of
wetland pursuant to EO 11990; (d) evaluation of flood
hazards in floodplains in accordance with EO 11988; (e)
assurance of project consistency with the approved State
management program developed under the Coastal
Zone Management Act of 1972 (16 U.S.C. §§1451 et
seq.); (f) conformity of Federal actions to State (Clear
Air) Implementation Plans under Section 176(c) of the
Clear Air Act of 1955, as amended (42 U.S.C. §§7401 et
seq.); (g) protection of underground sources of drinking
water under the Safe Drinking Water Act of 1974, as
amended, (P.L. 93-523); and (h) protection of
endangered species under the Endangered Species Act
of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968
(16 U.S.C. §§1271 et seq.) related to protecting
components or potential components of the national wild
and scenic rivers system.
13. Will assist the awarding agency in assuring
compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended (16 U.S.C.
§470), EO 11593 (identification and protection of
historic properties), and the Archaeological and
Historic Preservation Act of 1974 (16 U.S.C. §§
469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the
protection of human subjects involved in research,
development, and related activities supported by this
award of assistance.
15. Will comply with the Laboratory Animal Welfare Act
of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131
et seq.) pertaining to the care, handling, and
treatment of warm blooded animals held for
research, teaching, or other activities supported by
this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead based paint in construction
or rehabilitation of residence structures.
17. Will cause to be performed the required financial
and compliance audits in accordance with the Single
Audit Act of 1984.
18. Will comply with all applicable requirements of all
other Federal laws, executive orders, regulations and
policies governing this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
APPLICANT ORGANIZATION DATE SUBMITTED
Commissioner and Secretary of Health
Oklahoma Department of Mental Health and Substance Abuse Services
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1. Planning
THREE YEAR PLAN, ANNUAL REPORT, and PROGRESS REPORT:
PLAN FOR FY 2011-FY 2013 PROGRAM ACTIVITIES
This section documents the States plan to use the FY 2011 through FY 2013 Federal Substance Abuse
Prevention and Treatment (SAPT) Block Grant. For each SAPT Block Grant award, the funds are available
for obligation and expenditure for a 2-year period beginning on October 1 of the Federal Fiscal Year (FY) for
which an award is made. States are encouraged to incorporate information on needs assessment, resource
availability and States priorities in their plan to use these funds over the next three fiscal years. In the interim
years (FY 2012 and FY 2013), updates to this 3-year plan are required; however, if the plan remains
unchanged, additional narrative is not necessary. This section requires completion of needs assessment
forms, services utilization forms and a narrative description of the States planning processes.
1. Planning
This section provides an opportunity to describe the State’s planning processes and requires completion of
needs assessment data forms, utilization information and a description of the State’s priorities. In addition,
this section provides the State the opportunity to complete a three year intended use plan for the periods of
FY 2011-FY 2013. Finally this section requires completion of planning narratives and a checklist. These
items address compliance with the following statutory requirements:
• 42 U.S.C. §300x-29, 45 C.F. R. §96.133 and 45 C.F.R. §96.122(g)(13) require the State to submit a
Statewide assessment of need for both treatment and prevention.
The State is to develop a 3-year plan which covers the three (3) fiscal years from FFY 2011-FY 2013. In a
narrative of up to five pages, describe:
• How your State carries out sub-State area planning and determines which areas have the highest
incidence, prevalence, and greatest need.
• Include a definition of your State’s sub-State planning areas (SPA).
• Identify what data is collected, how it is collected and how it is used in making these decisions.
• If there is a State, regional or local advisory council, describe their composition and their role in the
planning process.
• Describe the monitoring process the State will use to assure that funded programs serve
communities with the highest prevalence and need.
• Those States that have a State Epidemiological Outcomes Workgroup (SEOW) must describe its
composition and contribution to the planning process for primary prevention and treatment planning.
States are encouraged to utilize the epidemiological analyses and profiles to establish substance
abuse prevention and treatment goals at the State level.
Describe how your State evaluates activities related to ongoing substance abuse prevention and treatment
efforts, such as performance data, programs, policies and practices, and how this data is produced,
synthesized and used for planning. A general narrative describing the States planned approach to using
State and Federal resources should be included. For the prevention assessment, States should focus on
the SEOW process. Describe State priorities and activities as they relate to addressing State and Federal
priorities and requirements.
• 42 U.S.C. §300x-51 and 45 C.F. R. §96.123(a)(13) require the State to make the State plan public in
OK / SAPT FY2011
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such a manner as to facilitate public comment from any person during the development of the plan.
In a narrative of up to two pages, describe the process your State used to facilitate public comment in
developing the State’s plan and its FY 2011-FY 2013 application for SAPT Block Grant funds.
For FY 2012 and FY 2013, only updates to the 3-year plan will be required. In the Section addressing the
Federal Goals, the States will still need to provide Annual and Progress reports. Fiscal reporting
requirements and performance data reporting will also be required annually.
The Prevention component of your Three Year Plan Should Include the Following:
Problem Assessment (Epidemiological Profile)
Using an array of appropriate data and information, describe the substance abuse-related problems in your
State that you intend to address under Goal 2. Describe the criteria and rationale for establishing
primary prevention priorities.
(See 45 C.F.R §96.133(a) (1))
Prevention System Assessment (Capacity and Infrastructure)
Describe the substance abuse prevention infrastructure in place at the State, sub-State, and local levels.
Include in this description current capacity to collect, analyze, report, and use data to inform decision
making; the number and nature of multi-sector partnerships at all levels, including broad-based community
coalitions. In addition, describe the mechanisms the SSA has in place to support sub-recipients and
community coalitions in implementing data-driven and evidence-based preventive interventions. If the State
sets benchmarks, performance targets, or quantified objectives, describe the methods used by the State to
establish these.
Prevention System Capacity Development
Describe planned changes to enhance the SSA’s ability to develop, implement, and support—at all levels
—processes for performance management to include: assessment, mobilization, and partnership
development; implementation of evidence-based strategies; and evaluation. Describe the challenges
associated with these changes, and the key resources the State will use to address these challenges.
Provide an overview of key contextual and cultural conditions that impact the State’s prevention capacity
and functioning.
Implementation of a Data-Driven Prevention System
Describe the mechanism by which funding decisions are made and funds will be allocated. Explain how
these mechanisms link funds to intended State outcomes. Provide an overview of any strategic prevention
plans that exist at the State level, or which will be required at the sub-State or sub-recipient level, including
goals, objectives, and/or outcomes. Indicate whether sub-recipients will be required to use evidence based
programs and strategies. Describe the data collection and reporting requirements the State will use to
monitor sub-recipient activities.
Evaluation of Primary Prevention Outcomes
Discuss the surveillance, monitoring, and evaluation activities the State will use to assess progress toward
achieving its capacity development and substance abuse prevention performance targets. Describe the way
in which evaluation results will be used to inform decision making processes and to modify implementation
plans, including allocation decisions and performance targets.
OK / SAPT FY2011
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1. Planning
The state is to develop a 3-year plan which covers the three (3) fiscal years from FFY
2011-FY 2013. In a narrative of up to five pages, describe:
• How your state carries out sub-state area planning and determines which areas
have the highest incidence, prevalence, and greatest need.
• Include a definition of your state’s sub-state planning areas (SPA).
• Identify what data is collected, how it is collected and how it is used in making
these decisions.
• If there is a state, regional or local advisory council, describe their composition
and their role in the planning process.
• Describe the monitoring process the state will use to assure that funded
programs serve communities with the highest prevalence and need.
• Those states that have a State Epidemiological Outcomes Workgroup (SEOW)
must describe its composition and contribution to the planning process for
primary prevention and treatment planning. States are encouraged to utilize the
epidemiological analyses and profiles to establish substance abuse prevention and
treatment goals at the state level.
Describe how your state evaluates activities related to ongoing substance abuse
prevention and treatment efforts, such as performance data, programs, policies and
practices, and how this data is produced, synthesized and used for planning. A general
narrative describing the states’ planned approach to using state and federal resources
should be included. For the prevention assessment, states should focus on the SEOW
process. Describe state priorities and activities as they relate to addressing state and
federal priorities and requirements.
• 42 U.S.C. §300x-51 and 45 C.F. R. §96.123(a)(13) require the state to make the
state plan public in such a manner as to facilitate public comment from any person
during the development of the plan.
In a narrative of up to two pages, describe the process your state used to facilitate public
comment in developing the state’s plan and its FY 2011-FY 2013 application for SAPT
Block Grant funds.
For FY 2012 and FY 2013, only updates to the 3-year plan will be required. In the
Section addressing the Federal Goals, the states will still need to provide Annual and
Progress reports. Fiscal reporting requirements and performance data reporting will also
be required annually.
The Prevention component of your Three Year Plan Should Include the Following:
Problem Assessment (Epidemiological Profile)
Using an array of appropriate data and information, describe the substance abuse-related
problems in your state that you intend to address under Goal 2. Describe the criteria and
rationale for establishing primary prevention priorities.
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(See 45 C.F.R §96.133(a) (1))
Prevention System Assessment (Capacity and Infrastructure)
Describe the substance abuse prevention infrastructure in place at the state, sub-state, and
local levels. Include in this description current capacity to collect, analyze, report, and
use data to inform decision making; the number and nature of multi-sector partnerships at
all levels, including broad-based community coalitions. In addition, describe the
mechanisms the SSA has in place to support sub-recipients and community coalitions in
implementing data-driven and evidence-based preventive interventions. If the state sets
benchmarks, performance targets, or quantified objectives, describe the methods used by
the state to establish these.
Prevention System Capacity Development
Describe planned changes to enhance the SSA’s ability to develop, implement, and
support—at all levels—processes for performance management to include: assessment,
mobilization, and partnership development; implementation of evidence-based strategies;
and evaluation. Describe the challenges associated with these changes, and the key
resources the state will use to address these challenges. Provide an overview of key
contextual and cultural conditions that impact the state’s prevention capacity and
functioning.
Implementation of a Data-Driven Prevention System
Describe the mechanism by which funding decisions are made and funds will be
allocated. Explain how these mechanisms link funds to intended state outcomes. Provide
an overview of any strategic prevention plans that exist at the state level, or which will be
required at the sub-state or sub-recipient level, including goals, objectives, and/or
outcomes. Indicate whether sub-recipients will be required to use evidence based
programs and strategies. Describe the data collection and reporting requirements the state
will use to monitor sub-recipient activities.
Evaluation of Primary Prevention Outcomes
Discuss the surveillance, monitoring, and evaluation activities the state will use to assess
progress toward achieving its capacity development and substance abuse prevention
performance targets. Describe the way in which evaluation results will be used to inform
decision making processes and to modify implementation plans, including allocation
decisions and performance targets.
PLANNING
Describe how your state carries out sub-state area planning and determines which areas
have the highest incidence, prevalence and greatest need. Include a definition of your
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state’s sub-state planning areas. Identify what data is collected, how it is collected, and
how it is used in making these decisions:
The Oklahoma Department of Mental Health and Substance Abuse Services
(ODMHSAS) utilizes needs assessment data developed through the Department’s
Decision Support Services Division and the Oklahoma State Epidemiological Outcomes
Workgroup (SEOW) for state and sub-state planning. In addition, sub-state and statewide
data from other agencies and federal sources are reviewed along with information from
providers, consumers, and stakeholders.
The internal assessment of the need for treatment was previously supported by the
Oklahoma Substance Abuse Needs Assessment Project (STNAP) contracts and grants
with the federal Center for Substance Abuse Treatment (CSAT) in Rockville, Maryland.
All phases of the needs assessment were completed with the third phase completed in
FFY2004. Since the estimates from the above referenced studies are dated, the
ODMHSAS began using the Office of Applied Studies National Survey on Drug Use and
Health prevalence estimates for Oklahoma in FFY2005. The data collected is by sub-state
planning regions and includes information on incidence, prevalence and need.
The Provider Performance Management Report (PPMR) for Substance Abuse Agencies
utilizes information from the Integrated Client Information System (ICIS), a database of
provider services, to develop a quarterly agency report of performance indicators. This
provides facilities and Department program staff with up-to-date performance
information. The provider information is also reviewed for planning and gaps in services
in each sub-state area.
In late April 2006, the weekly census/waiting list report to the Department’s Decision
Support Services (DSS) to comply with the 90% capacity reporting requirement was
replaced with a daily reporting system to a designated substance abuse services staff
person. Daily reporting by residential and halfway house programs has provided the
ODMHSAS with a more timely account of the percentage of capacity and which agencies
have available beds. The number of individuals waiting for treatment is also reported
through this Residential/Halfway House Capacity Report providing valuable information
on the needs within the state. Outpatient programs are able to admit clients as soon as
appointments can be made so waiting lists are not needed for those programs. The
ODMHSAS has now developed a secure online capacity report and staff are in the
process of moving providers onto that system. Waiting list data is captured through the
use of unique identifiers. Information from providers reporting to the online system is
collected in a database which will provide valuable information including capacity of
providers, bed availability, waiting lists information for each agency, an unduplicated
count of individuals waiting for treatment, priority populations waiting time, and interim
services data.
The ODMHSAS website www.odmhsas.org includes an informative ad hoc query
system, the Health Information Integrated Query System which includes prevalence and
needs data by sub-state regions. Users can create a personalized query to produce
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specific ODMHSAS data. These reports, too, are simple to use. They are generated
through the ‘Basic Query’ and the ‘Advanced Query’ functions and provide demographic
and count data for admitted clients for the last six years. The query system accesses over
1,500,000 records to produce results.
The Oklahoma Prevention Needs Assessment Survey (OPNA) was provided to
volunteering schools throughout Oklahoma in the spring of 2010. It is a risk and
protective factor survey that was developed and offered to schools in Oklahoma to give
them a snapshot of the communities in which they live. Participating schools throughout
the state surveyed sixth, eighth, tenth, and twelfth grade students. Each school receives
an analysis of the data from their school’s surveys and are encouraged to use the data for
resource development, prevention planning, and community education. In addition,
statewide and regional data are generated. This information is available to the Area
Prevention Resource Centers (APRCs), community coalitions, and the general public.
APRCs receive regular training on how to interpret and utilize OPNA data in their
prevention planning and strategy development. This local Oklahoma data will be
invaluable as schools, prevention programs, and local coalitions develop goals and
objectives and plan prevention services in their communities based on the Strategic
Prevention Framework (SPF). The OPNA is offered to schools every other year. The
prior survey was completed in the spring of 2008 and the next survey will take place in
2012.
The Oklahoma State Epidemiological Outcomes Workgroup (SEOW) was created
August 3, 2006 and modeled after the National Institute on Drug Abuse (NIDA)
community epidemiological work group. The SEOW is housed in the Oklahoma
Department of Mental Health & Substance Abuse Services (ODMHSAS) and is funded
through a federal grant from the Substance Abuse and Mental Health Services
Administration (SAMHSA), Center for Substance Abuse Prevention (CSAP). The
mission of Oklahoma SEOW is to improve prevention assessment, planning,
implementation, and monitoring efforts through the application of systematic, analytical
thinking about the causes and consequences of substance abuse. Oklahoma’s SEOW will
continue to compile and update data annually or as new data becomes available. In fiscal
year 2011, the ODMHSAS intends to make significant improvements to the state’s
prevention data system in three proposed ways: 1) creation of a web-based
epidemiological data query system as a common, real-time place to access data, analyze
data, and produce reports/graphs/charts/maps; 2) identification of methods to address
identified data gaps that exist at the state and local levels to effectively make data-driven
decisions and evaluate efforts; and 3) creation of a web-based prevention service data
reporting and tracking system that meets the evolving needs of federal funders,
ODMHSAS, and local-level providers. The Oklahoma SEOW will also examine
opportunities to expand its scope to meet the needs of other state agencies and to
collect/analyze data on other health-related issues.
Sources for the comprehensive epidemiological profile currently include:
• Arrestee Drug Abuse Monitoring Program
• Behavioral Risk Factor Surveillance Survey
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• Center for Disease Control and Prevention
• Ensuring Solutions to Alcohol Problems
• Fatality Analysis Reporting System
• National Institute on Alcohol Abuse and Alcoholism
• National Survey on Drug Use and Health
• National Vital Statistics System
• Oklahoma Bureau of Narcotics and Dangerous Drugs
• Oklahoma Department of Mental Health and Substance Abuse Services
• Oklahoma Highway Safety Office
• Oklahoma State Bureau of Investigation
• Oklahoma State Department of Health
• Oklahoma Tax Commission
• Oklahoma Violent Death Reporting System
• Oklahoma Youth Tobacco Survey
• Pacific Institute for Research and Evaluation
• Pregnancy Risk Assessment Monitoring System
• Smoking Attributable Mortality, Morbidity and Economic Costs
• Substance Abuse and Mental Health Services Administration
• United States Census Bureau
• Youth Risk Behavior Survey
The ODMHSAS regional planning system divides Oklahoma into eight sub-state
planning regions. Those regions include:
1. Central – Canadian, Cleveland, Grady, and McClain counties
2. East Central – Adair, Cherokee, Creek, Lincoln, McIntosh, Muskogee, Okfuskee,
Okmulgee, Sequoyah, and Wagoner counties
3. Northeast – Craig, Delaware, Kay, Mayes, Noble, Nowata, Osage, Ottawa,
Pawnee, Payne, Rogers, and Washington counties
4. Northwest - Alfalfa, Beaver, Cimarron, Ellis, Garfield, Grant, Harper, Kingfisher,
Logan, Major, Texas, Woods, and Woodward counties
5. Oklahoma County
6. Southeast – Atoka, Bryan, Carter, Choctaw, Coal, Garvin, Haskell, Hughes,
Johnston, Latimer, LeFlore, Love, Marshall, McCurtain, Murray, Pittsburg,
Pontotoc, Pottawatomie, Pushmataha, and Seminole counties
7. Southwest – Beckham, Blaine, Caddo, Comanche, Cotton, Custer, Dewey, Greer,
Harmon, Jackson, Jefferson, Kiowa, Roger Mills, Stephens, Tillman, and Washita
counties
8. Tulsa County
Of the eight sub-state areas, the Oklahoma County and Tulsa County regions are urban.
The Central region is a suburban area close to Oklahoma City, housing the University of
Oklahoma in Cleveland County. All other regions are rural.
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Oklahoma utilizes these eight sub-state areas for all substance abuse planning and needs
assessment data and information, including the data collected through the Decision
Support Services Division for TEDS and other needs assessment reporting.
If there is a state, regional, or local advisory council, describe their composition and their
role in the planning process.
Oklahoma works closely with the Oklahoma State Department of Health (OSDH) in
many areas including tobacco prevention, reduction of acute diseases including TB,
HIV/AIDS, and Hepatitis C, and coalition development to promote wellness in local
communities. Oklahoma does not have a substance abuse advisory council but most of
the prevention programs and several treatment providers participate with the local OSDH
coalitions. With this in mind, the ODMHSAS has joined forces with the Oklahoma State
Department of Health to participate in their Turning Point coalitions. Although there is
no formal advisory capacity, many of the ODMHSAS partners, prevention and treatment
programs, state and community agencies participate and suggestions or ideas are passed
on to the ODMHSAS leadership as needed. In addition, the ODMHSAS Prevention staff
participate with the State Turning Point Advisory Council.
The Area Prevention Resource Centers (APRCs) partner with community coalitions,
including those in the Turning Point network, at the local levels within each service
region. Each APRC in partnership with their associated community coalitions conduct
local level needs assessments to identify priority issues (alcohol, tobacco, and other drug
consumption/consequences) and intervening variables/causal factors that contribute to the
identified priorities. Strategic plans are developed utilizing the needs assessments
findings.
The ODMHSAS prevention staff collaborate with the Oklahoma State Departments of
Education and Health, the Governor’s Office, the Oklahoma Commission on Children
and Youth, and other agencies, task forces, work groups, planning and community groups
throughout Oklahoma. Examples of this include the Governor’s Task Force on the
Prevention of Underage Drinking, the Oklahoma Prevention Leadership Collaborative,
Oklahoma Crystal Darkness Collaborative, the SEOW, the Oklahoma Health
Improvement Plan flagship workgroups, and the Oklahoma Partnership Initiative Steering
Committee. The Department will continue to actively contribute to the Oklahoma
Prevention Leadership Collaborative to help influence other prevention leadership bodies
in the state to utilize the principles of the Strategic Prevention Framework and advocate
for the coordination of prevention services and resources. The Collaborative was
developed in 2010 to promote coordinated planning, implementation, and evaluation of
quality prevention services for children, youth, and families at the state and local levels
with a particular focus on the prevention of mental, emotional, and behavioral health
disorders, related problems (i.e. alcohol and other drug use), and contributing risk factors.
Oklahoma was awarded the Transformation State Incentive Grant (TSIG) in FFY 2005.
While the grant is directed at transformation of mental health systems, the ODMHSAS is
also responsible for providing substance abuse services and since the management of
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mental health and substance abuse disorders share many common approaches, Oklahoma
determined that transformation activities should include both the mental health and
substance abuse service systems. Because people with mental health and substance abuse
problems receive services from a number of state agencies and to ensure the participation
of all other state agencies that may impact this population, in December 2005, Governor
Brad Henry issued an Executive Order establishing the Governor’s Transformation
Advisory Board (GTAB) to guide transformation activities. The 28-member panel
includes the heads of eleven state agencies, representatives from the State Senate and
House of Representatives, the law enforcement community, the state’s Indian Nations,
the Indian Health Services, the chair of the Mental Health Planning and Advisory
Council, eight representatives of consumer, youth and family advocacy organizations,
and representatives from private industry and the philanthropic community. The GTAB
Board continues to aid Oklahoma’s planning and transformation efforts.
The Department’s Governing Board has three members who represent substance abuse
issues specifically. The Department’s executive staff work closely with board members.
The ODMHSAS governing board is a strong partner in the planning process.
Additional organizations with which the ODMHSAS maintains open communication and
which work with the Department throughout the year, providing advice and counsel to
the Department include:
The Oklahoma Substance Abuse Services Alliance (OSASA), a statewide organization,
composed primarily of public and non-profit prevention and treatment providers. This
organization serves as an advocate for substance abuse services, as well as for prevention
and treatment programs.
The Oklahoma Citizen Advocates for Recovery and Treatment Association (OCARTA)
is a statewide recovery organization dedicated to empowering recovering people and their
families, reducing the stigma associated with addiction, and advocating for the recovery
community.
The Oklahoma Prevention Policy Alliance (OPPA), a statewide advocacy organization
composed of state and community prevention professionals.
The ODMHSAS is committed to developing and supporting statewide prevention and
recovery advocacy group(s) comprised of concerned or recovering citizens dedicated to
reducing the stigma of addiction, advocating for prevention and treatment services and
publicizing the fact that treatment works. It is the desire of the Department to be
affiliated with prevention and recovery groups which will be able to contribute to the
planning process through their recommendations as independent advocacy organizations.
The Department encourages advice from many different sources, keeping an open door to
all.
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Describe the monitoring process the state will use to assure that funded programs serve
communities with the highest prevalence and need.
The Integrated Client Information System (ICIS), a public online ad-hoc query system
called the Health Information Integrated Query System (HI-IQs), along with preformatted
reports and the Provider Performance Management Report (PPMR) provide information
on prevention and consumer services throughout the sub-state regional areas of
Oklahoma. This data allows for the monitoring of services to assure that communities
with the greatest need are the communities receiving services.
Beginning July 1, 2010, treatment providers began utilizing the Consolidated Claims
Process (CCP), a combined service database and fee-for-service payment system
developed through a partnership with the Oklahoma Health Care Authority, the state
Medicaid agency. The CCP collects service, outcome and demographic data and will
greatly enhance providers’ ability to work with Medicaid. The Department expects more
consumers to be treated, and additional Medicaid dollars to pay for behavioral health
services as a result.
Data on substance abuse services through either the Medicaid or the ODMHSAS system
will be reported into the CCP system. Individual-level data include consumer
demographics, presenting problems, benefits information, Addiction Severity Index
scores, drugs of choice, frequencies of use, routes of administration, and ages of first use.
Information is also gathered on all services provided to consumers, the duration of those
services, and identifying information of staff members providing the services. Using a
unique client identifier, services can be linked to the client characteristics, and tracked
across agencies and over time. Annual reports and ad-hoc queries will continue to be
available through the ODMHSAS website at www.odmhsas.org.
The Provider Performance Management Report will utilize information from the CCP
database to develop a quarterly agency report providing facilities and Department
program staff with up-to-date performance information. This information is available
throughout the year for planning and identification of gaps in services in each sub-state
area.
All of the above information, in addition to Needs Assessment information, provider and
consumer input, and various other sources, is utilized to provide quality services to
consumers in need of such services. As indicators show an area to have a higher
prevalence of need and as funding becomes available, every effort is made to increase
services in that area.
Describe the state’s Epidemiological Outcomes Workgroup’s composition and
contribution to the planning process for primary prevention and treatment planning.
States are encouraged to utilize the epidemiological analyses and profiles to establish
substance abuse prevention and treatment goals at the state level. Describe how your
state evaluates activities related to ongoing substance abuse prevention efforts, such as
programs, policies and practices, and how this data is used for planning. For the
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prevention assessment, states should focus on the SEOW process. Provide a summary of
how data/data indicators were chosen, as well as, key data construct and indicators for
understanding state-level substance use patterns and related consequences and
mechanisms for tracking data and reporting significant changes should be outlined.
The Oklahoma State Epidemiological Outcomes Workgroup (SEOW) is a
multidisciplinary workgroup whose members are connected to key decision-making and
resource allocation bodies in the state. This workgroup, funded through a Federal grant
from SAMHSA/CSAP, was established by ODMHSAS in 2006 and is patterned after the
National Institute on Drug Abuse (NIDA) community epidemiological workgroup.
Oklahoma’s SEOW is charged with improving prevention assessment, planning,
implementation, and monitoring efforts through data collection and analysis that
accurately assesses the causes and consequences of the use of alcohol, tobacco, and other
drugs and drives decisions concerning the effective and efficient use of prevention
resources throughout the state.
The Oklahoma State Epidemiological Outcomes Workgroup (SEOW) was convened to
collect and report on substance abuse consumption and consequence data to help identify
and monitor state priorities for ODMHSAS and other agencies. The SEOW is tasked
with analyzing the state epidemiological data to determine problem or emerging alcohol,
tobacco, and other drug consumption and consequence patterns. Using CSAP
recommendations, data indicators for each substance are chosen based on the following
criteria.
1) National source. The measure must be available from a centralized, national data
source.
2) Availability at state level. The measure must be available in disaggregated form
at the state (or lower geographic) level.
3) Validity. There must be research-based evidence that the data accurately measure
the specific construct and yield a true snapshot of the phenomenon at the time of
assessment. These criteria are used to eliminate measures that look at face value
as if they assess a particular construct, but are in fact poor or unproven proxy
measures and thus do not accurately reflect the construct.
4) Trend. The measure should be available for the past 3 to 5 years, preferably on an
annual basis, but no less than a biennial basis. This enables the state to determine
not only the level of an indicator but also its trends.
5) Consistency. The measure must be consistent (i.e., the method or means of
collecting and organizing data should be relatively unchanged over time, such that
the method of measurement is the same from time i to time i+1). Alternatively, if
the method of measurement has changed, sound studies or data should exist that
determine and allow adjustment for differences resulting from data collection
changes.
6) Sensitivity. For monitoring, the measure must be sufficiently sensitive to detect
change over time.
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This data focus—collection, analysis, and use—is entrenched in each step of the Strategic
Prevention Framework, which is utilized in block grant funded prevention service
delivery. Epi data continually informs the process. The formal assessment of contextual
conditions, needs, resources, readiness, and capacity is used to identify priority issues in
Step 1. In Step 2, data are shared to generate awareness, spur mobilization, and leverage
resources. In Step 3, assessment data are used to drive the development of a strategic plan
and guide the selection of evidence-based strategies. Data are used in Step 4 to inform
(and, if necessary, revise) the implementation plan. And finally, data are collected to
monitor progress toward outcomes, and findings are used to make adjustments and
develop sustainable prevention efforts. Oklahoma will begin contracting for evaluation
services on the prevention block grant in fiscal year 2011. The contractor, the University
of Oklahoma College of Public Health, will develop an improved framework for tracking
data and reporting significant changes. Currently, Oklahoma collects and reports on
National Outcome Measures and the additional SEOW indicators outlined below.
To study the nature and extent of the problem of alcohol, tobacco, and other drug use in
Oklahoma, the state’s SEOW utilized the CSAP model for consequence and consumption
indicators. The following represents Oklahoma’s latest SEOW profile for 2010.
Table 1. Alcohol, Tobacco, Illicit Drugs, and Prescription Drug Consumption and
Consequence Indicators
Alcohol Tobacco Illicit Drugs Prescription Drugs
Consumption • Current use •Current use • Current use
• Age of initial use •Lifetime use
•Age of initial use
• Drinking and driving
Consequence •Alcohol‐related mortality
• Alcohol‐related Crime
•Dependence or abuse
•Total cigarette use
consumption per
capita
• Apparent per capita alcohol
• Alcohol‐related motor vehicle
crashes
•Tobacco‐related
mortality
•Illicit drug‐related
mortality
•Ilicit drug‐related
crime
•Dependence or
abuse
•Prescription opiate��related
mortality
• Current use
• Heavy drinking
• Age of initial use
• Current binge drinking
• Alcohol use during pregnancy
•Tobacco use during
pregnancy
Alcohol Consumption
According to Oklahoma’s Youth Risk Behavior Survey (YRBS), in 2009, 39.0 percent of
students in grades 9–12 reported current alcohol consumption. That percentage is
consistent with data collected by the National Survey on Drug Use and Health (NSDUH)
for the population aged 12 and older, which showed 42.5 percent of respondents were
current drinkers in 2007. NSDUH and YRBS data also showed between 21 and 28
percent of adolescents were binge drinkers at the time of the surveys. Although youth
binge drinking is on the decline, with the exception of 2009, Oklahoma has been
consistently above the national average for this behavior according to the YRBS.
NSDUH data from 2007 indicated 37.4 percent of 18- to 25-year-olds and 9.0 percent of
12- to 17-year-olds were binge drinkers. The 2009 YRBS showed 19.4 percent of
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Oklahoma students in grades 9–12 reported early initiation of alcohol; a continued
indication of a steady decline in that behavior since the 2003 YRBS report of 26.8
percent.
While adolescent drinking and driving is trending downward, Oklahoma continues to
have percentages higher than the national average. In 2003, Oklahoma’s percentage of
adolescent drunk driving was 17.5 percent, which was 45 percent higher than the national
average. This dropped to 11.0 percent in 2009, which was 13 percent higher than the
national average of 9.7 percent.
Indicators from the 2009 Behavioral Risk Factor Surveillance System (BRFSS) show
Oklahoma is lower than the national average in current alcohol consumption, heavy
consumption, and binge drinking among adults. In 2009, 42.6 percent of Oklahoma adults
reported current alcohol consumption, which was 27 percent lower than the national
average of 54.3 percent.
Although lower than the national average, NSDUH data indicates Oklahoma’s percentage
of binge drinking among persons 12 and older has increased from 2003-2007. The
percentage was 19.01 in 2003 and 21.2 in 2007.
Data from the Pregnancy Risk Assessment Monitoring Survey (PRAMS) show that
alcohol use among pregnant women has been climbing in Oklahoma since 2003, when
2.5 percent of pregnant women had consumed alcohol during the last 3 months of their
pregnancy. In 2007, the percentage had increased to 4.8 percent of pregnant women.
Alcohol Consequences
Oklahoma is consistently above the national average in alcohol-related mortality. Long-term
alcohol consumption is associated with chronic liver disease. The relationship
between alcohol use and suicide is also well documented, according to CSAP. Both
chronic liver deaths and suicide deaths have been on the rise in Oklahoma since 2003.
According to the Uniform Crime Reports (UCR), Oklahoma has also been consistently
above the national average in crimes related to alcohol use which include aggravated
assaults, sexual assaults, and robberies. Since 2003, there has been an 18.1 percent
increase.
Fatality Analysis Reporting System (FARS) data show that Oklahoma has maintained a
steady rate of fatal crashes involving an alcohol-impaired driver. In 2003, Oklahoma’s
alcohol-impaired driver fatality rate was 31.3 percent, and in 2008, that figure remained
relatively stable at 31.6 percent. National percentages for those years were 30.3 and 31.4,
respectively.
Tobacco Consumption
According to the 2007 NSDUH, 30.6 percent of Oklahomans aged 12 and older were
current cigarette smokers, which was above the national average of 24.2 percent. Data
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from the 2009 BRFSS also showed Oklahomans’ daily cigarette smoking exceeding that
of the United States population as a whole, at 25.4 percent vs. 17.9 percent, respectively.
The YRBS shows indicators in tobacco use among adolescents have been falling in
Oklahoma since 2003, with students who smoked their first cigarette before the age of 13
decreasing by half since that year.
Smoking among pregnant women is climbing in Oklahoma according to PRAMS. In
2003, 16.2 percent of pregnant women reported they had smoked during the last 3 months
of their pregnancy; in 2007, the most recent PRAMS for which data are currently
available, the percentage of pregnant women who smoked during the last 3 months of
pregnancy had jumped to 21.3.
Tobacco Consequences
National Vital Statistics System (NVSS) data show deaths from both chronic obstructive
pulmonary disease (COPD) and emphysema for Oklahoma are above the national
average.
Illicit Drug Consumption
The YRBS shows daily marijuana use for high school students in grades 9–12 is
decreasing; 22.0 percent were daily users in 2003, while just 15.9 percent reported this
behavior in 2007.
According to NSDUH, Oklahoma has been consistently above the national average
among persons aged 12 and older reporting the use of any illicit drug other than
marijuana. The percentages were 4.1 in 2004 and 4.6 in 2007. The national percentages
for those same years were 3.4 and 3.7, respectively.
Although still above the national average, youth methamphetamine use continues to
decline in Oklahoma according to the YRBS. Since 2003, the percentage of youth
methamphetamine users has dropped by half.
The YRBS also shows Oklahoma exceeds the national average in cocaine, ecstasy,
steroid, and inhalant use. Although above the national average, cocaine use in Oklahoma
has dropped from 9.2 percent in 2003 to 7.4 percent in 2009.
Although initially below the national average in years 2003–2007, adolescent use of
inhalants is on a steady ascent. In 2009, 12.7 percent of Oklahoma adolescents reported
inhalant use, surpassing the national average of 11.7 percent.
Illicit Drug Consequences
The latest NVSS data show that Oklahoma exceeds the nation in number of deaths due to
drug-related behavior. In 2006, the rate per 100,000 was 17.3 for Oklahoma and 12.8 for
the United States as a whole.
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The number of drug-related crimes (larceny, burglary, motor vehicle theft) in Oklahoma
also outstrips that of the nation; in 2008, Oklahoma reported 3,442.4 per 100,000
compared to the national rate of 3,212.5 per 100,000. However, Oklahoma’s 2008 rate
does represent a decline for the state, which reported drug-related crimes of 4042.0 per
100,000 in 2005.
Prescription Drug Consumption
According to data from the 2007 NSDUH, Oklahomans aged 12 and older exceeded the
national average for the consumption of painkillers for nonmedical use by 232 percent.
This is a 22 percent increase since 2004.
Prescription Drug Consequences
Although hospital inpatient discharge data were not indicators used in scoring, they were
presented to the State Epidemiological Outcomes Workgroup (SEOW) due to the paucity
of indicators regarding prescription drugs. Oklahoma hospital data associated with
opiates have shown a 91 percent increase since 2003. Although this is a general category
for opiates, for all practical purposes, heroin is the only illicit opiate taken into account.
NVSS data show there has been a 328 percent increase in opiate-related deaths in
Oklahoma since 1999. In 2006, Oklahoma ranked 4th in the nation for opiate overdose
deaths, exceeding the national average by 123 percent.
American Indian
In 2000, the American Indian and Alaska Native (AI/AN) population in Oklahoma was
266,801, comprising 8 percent of the state’s total population and ranking Oklahoma
second among all states for AI/AN population. Alcohol and tobacco consumption is a
significant problem in this population.
According to data from the 2009 BRFSS, 14.2 percent of AI/AN adults reported binge
drinking, and 4.0 percent reported heavy drinking; both percentages exceed those
reported by any other race. Smoking consumption was also highest among this group
according to the BRFSS. In 2009, 31.9 percent AI/ANs reported current smoking
compared to all other races (25.0 percent).
Data from the Oklahoma State Bureau of Investigation (OSBI) show Oklahoma’s AI/AN
population had substantially greater alcohol-related arrests (i.e., driving under the
influence, liquor law violations and drunkenness) at 44 percent; lower drug law violation
arrests (i.e., all drug arrests reported as sale/manufacturing and possession) at 8 percent;
and lower index crime arrests (i.e., murder, rape, robbery, aggravated assault, burglary,
larceny, and motor vehicle theft) at 10 percent, compared to all races combined (29
percent, 14 percent, and 13 percent, respectively).
From fiscal years (FYs) 2001–2008, Oklahoma’s AI/AN population had consistently high
rates of persons served in substance abuse treatment facilities compared to Whites and
people of all races combined.
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Older Adults
Older Oklahomans, aged 65 and above, are the fastest growing segment of the state’s
population. In 2006, Oklahoma had the 19th-highest number of persons aged 65 and over,
with 475,637 individuals falling into this category (U.S. Census Bureau, 2006). The
population ages 60 and older increased by 18.2 percent from 1980 to 2000. This is
substantially higher than the national average of 12.4 percent. In 2000, Oklahoma ranked
13th in terms of the percentage of the total population 60 years and older. This high
growth rate among senior citizens outpaced Oklahoma’s overall growth rate of 14 percent
for the same period. The very old (85 years and older) experienced the most notable
growth rate of 61 percent from 1980 to 2000. It is estimated that while Oklahoma’s total
population will grow at a relatively slow pace (10.2 percent), those 65 years and over will
increase by over 60 percent between 2007 and 2030. Further, the state’s population ages
85 years and older is expected to increase by 50 percent during the same time period
(U.S. Census Bureau, 2006).
According to Oklahoma’s 2009 BRFSS, 78.8 percent of persons aged 65–74 said that
they always or usually received support. This was down from 2005, when the percent was
83.1. Conversely, this among persons aged 75 and older, 77.6 percent always or usually
received support in 2005 and 78.4 percent did in 2009.
Another significant characteristic within the state’s older populations is grandparents
raising grandchildren. Approximately 43,000 older Oklahomans are responsible for their
grandchildren; of these, 16,200 have been responsible for the care of their grandchildren
5 years or longer. Grandparents living with grandchildren under 18 years of age for the
population 30 years and over households are shown in the following table.
Household types United States Oklahoma
Total households 30+ years 158,881,037 1,915,455
Grandparents living with grandchildren under 18 5,771,671 67,194
Grandparents responsible for their grandchildren 2,426,730 39,279
Grandparents responsible for their grandchildren 5 years or
more 933,408 14,714
Source: U.S. Census 2000
Veterans and Military Families
In Oklahoma, 12.5 percent (333,358) of the state’s citizens are veterans, with 20.7
percent having served in the Gulf War, 35.1 percent having served in Vietnam Conflict,
12.7 percent having served in the Korean War, and 13 percent having served in World
War II. The American Forces News Services reports that over 47,000 individuals based
in Oklahoma are active in military operations and 24,500 have been deployed since
American troops entered Afghanistan (www.usmilitary.about.com. 2008). In addition to
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other mental health disorders, 20 percent of returning veterans suffer posttraumatic stress
disorder.1
According to the OVDRS, 23 percent of suicide deaths between 2004 and 2007 were
veterans, which represented 76 percent of all violent deaths among veterans. In addition,
a comparison of mortality between Operation Enduring Freedom/Operation Iraqi
Freedom veterans and the general U.S. population (adjusted for age, sex, race, and
calendar year) showed evidence of a 21 percent excess of suicides among veterans
through 2007. Although the evidence is preliminary, it suggests decreased suicide rates
since 2006 among veterans of both sexes aged 18–29 who have used Veterans Health
Administration (VHA) health care services relative to veterans in the same age group
who have not. This decrease in rates translates to approximately 250 lives per year.
Finally, more than 60 percent of suicides among users of VHA services include patients
with a known diagnosis of a mental health condition.
Incarcerated Women
According to the Oklahoma Department of Corrections (ODOC), Oklahoma leads the
nation in the rate of female offender incarceration at 131 per 100,000 population, a
significant departure from the national average of 69 per 100,000 population. As of 2006,
2,213 women were incarcerated in the state of Oklahoma, and the state’s female inmate
population is growing more rapidly than its male inmate population. Analogous to this
rise in incarcerated females is a rise in incarcerated female drug use (i.e., both personal
use and drug-related crimes).
From 2001 to 2007, the number of female prison admissions per year increased by 136
(12 percent). Of the total female prison admissions during this time, 5,308 (61 percent)
were White; 2,141 (24 percent) were Black; 998 (11 percent) were American Indian or
Alaska Native; and 274 (3 percent) were Hispanic.
According to the Bureau of Justice Statistics (2002), 52 percent of the nation’s female
inmates were dependent on drugs or alcohol. Of all the offenses listed for incarcerated
women between 2001 and 2007 in Oklahoma, approximately 70 percent were associated
with a controlled substance (i.e., a drug or chemical substance whose possession and use
are controlled by law), alcohol, or both.
Describe state priorities and activities as they relate to addressing state and federal
priorities and requirements:
State and federal priorities are closely linked. State priorities focus on the well-being of
Oklahomans just as our federal partners focus on the well-being of individuals throughout
the nation. Many of the same issues face us all. Oklahoma has been working with the
Oklahoma Healthcare Authority, which is the state Medicaid agency, to develop the
Consolidated Claims Process, a system that will be a rich source of consumer data for
both systems.
1 Edmond Sun, August 13, edmondsun.com, “Veterans face mental health risks.”
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Oklahoma has been developing a statewide telehealth network to improve access to
services for consumers in rural areas. Oklahoma is delivering behavioral healthcare to
rural Oklahomans via a telehealth network. This network consists of 131 endpoints at 81
sites throughout Oklahoma. The current reimbursable services that are being delivered
are a) medication clinics (psychopharmacological management), b) individual therapy
sessions, c) consultations, and d) assessments (both routine and emergency). Along with
the reimbursable services delivered, the Department is also using this technology for
administrative meetings, trainings (for both CEU’s and CME’s), and court proceedings
(commitment hearings, etc).
This service delivery approach increases access to information and services for rural
Oklahomans who, without this technology, would continue to be at a significant
disadvantage as compared to their metro counterparts. It reduces the cost of seeking
services for the consumer, as well as the cost of providing services for the clinician.
Evidence-based programs are being utilized by prevention and treatment agencies to
provide quality and effective services. Training on evidence-based models and treatment
approaches, such as motivational interviewing, cognitive behavioral therapy, the strategic
prevention framework and others will be presented at various sites throughout the state
and at appropriate conferences to enhance the quality of services for consumers.
Oklahoma will continue to work with providers to increase the use of these programs.
The ODMHSAS models and promotes cultural competency through monthly cultural
events at the administrative offices. To advance cultural information, providers are
contractually required to participate in cultural competency training each year. In
addition, Oklahoma received technical assistance through training in cultural competency
in SFY 2010 through the Center for Substance Abuse Treatment for the Field Services
Coordinators (FSCs). This information will help FSCs assist providers in providing
culturally competent services for consumers. To support all its cultural competency
initiatives, the ODMHSAS has purchased access to the Culture Vision web service,
which has been made available to all ODMHSAS funded providers in the state. Culture
Vision provides information about history, culture, customs, and beliefs of many
countries, religions, and cultural groups and is available on-line for easy access. Culture
Vision is a readily available resource of cultural information for our treatment provider
network.
Many ODMHSAS consumers have faced multiple traumas during their use of alcohol
and other substances. To help with recovery, Oklahoma strives to create a system that
understands the impact of trauma, and consequently provides trauma sensitive services to
all Oklahomans. Many substance abusers and mentally ill individuals face the loss of
their incomes and homes, finding themselves without a place to live and without
resources. Oklahoma is working with the Coalition for the Needy and street outreach
programs to provide services and resources for homeless individuals, encouraging them
to participate in treatment services and assisting with recovery resources.
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Oklahoma’s drug court programs provide a highly-structured alternative to incarceration
for eligible offenders in the criminal justice system. With oversight from the
ODMHSAS, multidisciplinary teams work together to increase participant accountability
through intensive substance abuse and judicial supervision, focusing on recovery and
improvement in all areas of life. Presently, 53 drug courts are in operation, comprised of
41 adult drug courts, 8 juvenile drug courts, and 4 family courts. In addition, 10 mental
health courts have been implemented. Drug courts are a smart investment. The average
annual cost of incarceration in the Oklahoma Department of Corrections is $19,000 per
person, compared with the average annual per person cost for drug court participation of
$5,000.
The ODMHSAS Prevention Services has been awarded the Strategic Prevention
Framework (SPF) State Incentive Grant. Prevention has been focusing on educating
communities in the SPF. Local coalitions develop action plans for the prevention needs
in their areas. The SPF SIG funding will afford the opportunity to increase the
development of prevention capable communities.
Many of Oklahoma’s priorities reflect SAMHSA’s 10 Strategic Initiatives. As noted
above, Oklahoma faces many of the same issues that are felt nationally.
Describe the process your state used to facilitate public comment in developing the
state’s plan and its FFY 2010 application for SAPT Block Grant funds.
The ODMHSAS website provides access to multiple types of information for the public.
It has become an invaluable communication tool. After the SAPT Block Grant
Application is drafted and has been through a first review, a copy is posted on the website
at www.odmhsas.org. A news release inviting comments is issued and picked up by
multiple newspapers throughout the state. The news release is also emailed to providers.
For the 2011 SAPT Block Grant Application, providers and the general public have
approximately three weeks to review the application and provide comments, ask
questions, or suggest changes by contacting a designated ODMHSAS staff member.
Comments are submitted to the substance abuse services management team and the
Deputy Commissioner of Substance Abuse Services for review. Final revisions are made
to the application and it is then submitted to SAMHSA by the October 1 deadline.
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Planning Checklist
Criteria for Allocating Funds
Use the following checklist to indicate the criteria your State will use
how to allocate FY 2011-2013 Block Grant funds. Mark all criteria that
apply. Indicate the priority of the criteria by placing numbers in the
boxes. For example, if the most important criterion is 'incidence and
prevalence levels', put a '1' in the box beside that option. If two or
more criteria are equal, assign them the same number.
2 Population levels, Specify formula:
Underserved Populations
2 Incidence and prevalence levels
Problem levels as estimated by alcohol/drug-related crime statistics
1 Problem levels as estimated by alcohol/drug-related health statistics
2 Problem levels as estimated by social indicator data
1 Problem levels as estimated by expert opinion
Resource levels as determined by (specify method)
1 Size of gaps between resources (as measured by)
State and Federal Resources
and needs (as estimated by)
Waiting Lists
Other (specify method)
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Form 4 (formerly Form 8)
Treatment Needs Assessment Summary Matrix
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Central 439,074 30,823 1,849 1,317 79 15,440 926 1,812 1,843 2,264 3.19 3.42 1.82
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
East
Central 391,386 27,475 1,649 1,174 70 13,987 839 2,319 1,860 2,876 3.32 0 2.04
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Northeast 472,552 33,173 1,990 1,418 85 16,674 1,000 2,378 2,129 2,963 3.39 1.90 2.96
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Northwest 194,314 13,641 818 583 35 6,808 409 850 882 1,056 2.57 0 5.15
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A. B. A. B. A. B. A. B. C. Other: A. B. C.
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Needing
treatment
services
That
would
seek
treatment
Needing
treatment
services
That
would
seek
treatment
Needing
treatment
services
That
would
seek
treatment
Number
of
DWI
arrests
Number
of
drug-related
arrests
Drunkenness
Hepatitis
B
/100,000
AIDS/
100,000
Tuberculosis
/100,000
Oklahoma
County 819,177 57,506 3,450 2,458 147 29,475 1,769 3,866 5,043 4,784 2.56 4.76 2.81
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Southeast 437,873 30,739 1,844 1,314 79 15,548 933 3,562 3,504 4,393 3.20 0.69 4.11
1. Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Southwest 330,713 23,216 1,393 992 60 11,429 686 1,618 1,598 1,999 3.63 0 2.12
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Tulsa
County 601,961 42,258 2,535 1,806 108 21,568 1,294 3,118 3,770 3,853 4.49 5.81 2.33
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
State
Total 3,687,050 258,831 15,530 11,061 664 130,928 7,856 19,523 20,629 24,188 3.31 2.74 2.77
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Form 5 (formerly Form 9)
Treatment Needs by Age, Sex, and Race/ Ethnicity
AGE
GROUP
A.
Total B. White
C. Black or
African
American
D. Native
Hawaiian
/ Other
Pacific
Islander E. Asian
F. American
Indian /
Alaska
Native
G. More
than one
race
reported
H.
Unknown
I. Not Hispanic
Or Latino
J. Hispanic
Or Latino
M F M F M F M F M F M F M F M F M F
17
Years
Old and
Under
27,090 10,178 9,793 1,323 1,267 13 12 216 201 1,322 1,284 763 718 0 0 12,318 11,680 1,496 1,596
18 - 24
Years
Old
78,814 29,848 28,443 4,211 3,691 42 34 912 763 3,733 3,657 1,768 1,712 0 0 37,064 34,245 3,450 4,055
25 - 44
Years
Old
61,549 23,800 24,397 2,589 2,499 42 30 671 675 2,448 2,478 949 971 0 0 27,904 27,671 2,596 3,379
45 - 64
Years
Old
59,700 23,972 25,314 1,829 2,054 17 16 366 481 1,871 2,094 794 892 0 0 27,618 29,455 1,232 1,396
65 and
Over 31,892 11,936 15,850 568 841 6 6 104 166 669 909 352 485 0 0 13,269 17,941 365 315
Total 259,045 99,734103,79710,52010,352 120 982,2692,28610,04310,422 4,626 4,778 0 0 118,173120,992 9,13910,741
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How your State determined the estimates for Form 4 and Form 5 (formerly Form 8
and Form 9)
How your State determined the estimates for Form 4 and Form 5 (formerly Form 8 and Form 9)
Under 42 U.S.C. §300x-29 and 45 C.F.R. §96.133, States are required to submit annually a needs assessment.
This requirement is not contingent on the receipt of Federal needs assessment resources. States are required to
use the best available data. Using up to three pages, explain what methods your State used to estimate the
numbers of people in need of substance abuse treatment services, the biases of the data, and how the State
intends to improve the reliability and validity of the data. Also indicate the sources and dates or timeframes for
the data used in making these estimates reported in both Forms 4 and 5. This discussion should briefly describe
how needs assessment data and performance data is used in prioritization of State service needs and informs
the planning process to address such needs. The specific priorities that the State has established should be
reported in Form 7. State priorities should include, but are not limited to the set of Federal program goals
specified in the Public Health Service Act. In addition, provide any necessary explanation of the way your State
records data or interprets the indices in columns 6 and 7, Form 4.
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FORM 8 AND FORM 9 ESTIMATION METHODOLOGY
Estimates for treatment need in Oklahoma have been derived primarily through
the latest National Surveys on Drug Use and Health data for Oklahoma.
1. Data from the ODMHSAS Integrated Client Information System (ICIS)
were used to estimate the number in need of treatment among persons 11
years of age or younger.
2. SAMHSA’s State Estimates of Substance Use from the 2006-2007
National Surveys on Drug Use and Health (NSDUH) report
(http://www.oas.samhsa.gov/2k8state/stateTabs.htm) was used as a data
source to estimate treatment needs among persons 12 years of age or
older.
3. The number that would seek treatment was estimated to be six percent of
those in need of treatment but not currently being served based on a news
release from the U.S. DHHS, September 5, 2003 “22 Million in U.S. Suffer
from Substance Dependence or Abuse,”
(http://www.samhsa.gov/news/newsreleases/030905nrNSDUH.htm).
4. The number of injection drug users in need of treatment (0.3%) was
estimated using SAMHSA’s 2002-2003 National Surveys on Drug Use and
Health (http://www.oas.samhsa.gov/2k5/ivdrug/ivdrug.cfm).
5. Statistics from the Oklahoma State Bureau of Investigation’s (OSBI)
Uniform Crime Report (2008) were used to report substance-related
criminal activity.
6. Statistics collected in 2009, at the Oklahoma State Department of Health
(OSDH) Surveillance and Analysis Program HIV/STD Service and Acute
Disease Service were used to report the incidence of communicable
diseases.
FORM 8 – TREATMENT NEEDS ASSESSMENT SUMMARY MATRIX
TOTAL POPULATION IN NEED:
Needing Treatment Services: For youth age 11 and younger, no data were
available from the NSDUH. Estimates for those youth were derived using 2009
treatment data in ICIS. All clients, 11 years old or younger, served under an
ODMHSAS substance abuse funding source in 2009, who did not have a
presenting problem as a dependent child of a substance abuse client or co-dependent
of a substance abuser, were considered to be seeking treatment. It
was assumed that the 4 youth who received publicly-funded substance abuse
treatment in 2008 represented the six percent of those in need of treatment.
Therefore, an estimated 0.008 percent of youth in Oklahoma, 11 years of age or
younger were in need of treatment.
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Estimates of past year alcohol or illicit drug dependence or abuse (NSDUH,
2007) were used to calculate the number of persons 12 years of age or older in
need of treatment in Oklahoma. The estimates specific to each age group were
applied to the 2009 Oklahoma population estimates (12 to 17, 7.32%; 18 to 25,
19.35%; 26 or Older, 6.53%). Those estimates were allocated to sub-state
regions, and sex, race and origin categories.
That Would Seek Treatment: It is estimated that over 94 percent of people with
substance use disorders who did not receive treatment did not believe they
needed treatment (see source above). Therefore, it was estimated that six
percent of people in need of treatment would seek treatment.
NUMBER OF IDUs IN NEED
Needing Treatment Services: A national estimate of injection drug users from
the NSDUH, 2003, was used to estimate the number of IDUs in need of
treatment. The estimate (0.3%) was allocated to each of the eight sub-state
planning areas.
That Would Seek Treatment: Using the source previously described, it was
estimated that six percent of intravenous drug users would seek treatment.
NUMBER OF WOMEN IN NEED
Needing Treatment Services: Estimates for the number of women in need of
treatment were derived in the same manner as described above for the total
population in need.
That Would Seek Treatment: Estimates for the number of women who would
seek treatment were derived in the same manner as described above for the total
population.
PREVALENCE OF SUBSTANCE-RELATED CRIMINAL ACTIVITY
Data for substance-related criminal activity were obtained from the Oklahoma
State Bureau of Investigation’s (OSBI) 2008 Uniform Crime Report.
Number of DWI Arrests: The number of arrests for “driving under the influence”
in Oklahoma during 2008 is reported in lieu of “driving while intoxicated.”
“Driving under the influence” is defined as driving or operating any motor vehicle
while drunk or under the influence of liquor or drugs.
Number of Drug-Related Arrests: The number of arrests in Oklahoma during
2008 for “possession, distribution, sale or manufacture of illegal drugs” is
reported.
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Other: Drunkenness: The OSBI normally classified “Alcohol-related Arrests” as
arrests for driving under the influence, liquor law violations, and drunkenness
(drunk and disorderly). Since DUI arrests are presented elsewhere and liquor
law violations do not necessarily represent treatment-related issues,
drunkenness has been included as a separate category in this report.
INCIDENCE OF COMMUNICABLE DISEASES
The rates per 100,000 population were generated for the state and each sub-state
region from data provided by the Oklahoma State Department of Health.
The number of new acute Hepatitis B, reported AIDS and new Tuberculosis
cases during calendar year 2009 are utilized.
FORM 9 – TREATMENT NEEDS BY AGE, SEX, AND RACE/ETHNICITY
The methodology employed to complete this report is reported above under Form
8.
EVALUATION OF METHODOLOGY
The estimates of need and demand obtained through the methodology described
have a number of potential failings. The NSDUH data are probably not
representative of Oklahoma at the sub-state level for state specific data or for
each sex, race and origin category reported on Form 9. Consequently, estimates
based on those data will be biased toward conformance with estimates at the
state level. Estimates for IDUs were based on national estimates and are
therefore not representative of state rates.
Estimates for persons under 12 years old suffer from a complete lack of data.
Publicly-funded treatment delivery data are poor substitutes for measures of
statewide treatment need.
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Form 6 (formerly Form 11)
INTENDED USE PLAN
(Include ONLY Funds to be spent by the agency administering the block grant. Estimated data are
acceptable on this form)
SOURCE OF FUNDS
(24 Month Projections)
Activity A.SAPT
Block Grant
FY 2011
Award
B.Medicaid
(Federal,
State and
Local)
C.Other
Federal
Funds (e.g.,
Medicare,
other public
welfare)
D.State
Funds
E.Local
Funds
(excluding
local
Medicaid)
F.Other
Substance Abuse
Prevention* and
Treatment
$ 13,285,655 $ 1,352,746 $ 17,641,826 $ 73,656,242 $ $
Primary Prevention $ 3,542,841 $ 3,440,072 $ 1,767,576 $ $
Tuberculosis
Services $ 0 $ $ $ $ $
HIV Early
Intervention Services $ 0 $ $ $ $ $
Administration:
(Excluding
Program/Provider
Lvl)
$ 885,710 $ $ 8,318,198 $ $
Column Total $17,714,206 $1,352,746 $21,081,898 $83,742,016 $0 $0
*Prevention other than Primary Prevention
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Activity
Block
Grant FY
2011
Other
Federal
State
Funds
Local
Funds Other
Information Dissemination $ 637,711 $ 619,213 $ 318,164 $ $
Education $ 106,285 $ 103,202 $ 53,028 $ $
Alternatives $ 53,142 $ 51,601 $ 26,513 $ $
Problem Identification &
Referral $ 17,714 $ 17,200 $ 8,837 $ $
Community Based Process $ 2,207,420 $ 2,201,647 $ 1,131,249 $ $
Environmental $ 460,569 $ 447,209 $ 229,785 $ $
Other $ 0 $ 0 $ 0 $ $
Section 1926 - Tobacco $ 60,000 $ 0 $ 0 $ $
Column Total $3,542,841 $3,440,072 $1,767,576 $0 $0
Activity
Block
Grant FY
2011
Other
Federal
State
Funds
Local
Funds Other
Universal Direct $ 743,997 $ 722,415 $ 371,191 $ $
Universal Indirect $ 2,798,844 $ 2,717,657 $ 1,396,385 $ $
Selective $ 0 $ $ $ $
Indicated $ 0 $ $ $ $
Column Total $3,542,841 $3,440,072 $1,767,576 $0 $0
Form 6ab (formerly Form 11ab)
Form 6a. Primary Prevention Planned Expenditures Checklist
Form 6b. Primary Prevention Planned Expenditures Checklist
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Form 6c (formerly Form 11c)
Resource Development Planned Expenditure Checklist
Did your State plan to fund resource development activities with FY
2011 funds?
Yes No
Activity Treatment Prevention
Additional
Combined Total
Planning, Coordination and
Needs Assessment $ 320,000 $ 80,000 $ 0 $ 400,000
Quality Assurance $ 250,000 $ 65,000 $ 0 $ 315,000
Training (post-employment) $ 265,000 $ 65,000 $ 0 $ 330,000
Education (pre-employment) $ 0 $ 0 $ 0 $ 0
Program Development $ 0 $ 0 $ 0 $ 0
Research and Evaluation $ 0 $ 0 $ 0 $ 0
Information Systems $ 25,000 $ 0 $ 0 $ 25,000
Column Total $860,000 $210,000 $0 $1,070,000
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Purchasing Services
This item requires completing two checklists.
Methods for Purchasing
There are many methods the State can use to purchase substance abuse services. Use the following checklist to describe how your State will purchase services
with the FY 2011 block grant award. Indicate the proportion of funding that is expended through the applicable procurement mechanism.
Competitive grants Percent of Expense: %
Competitive contracts Percent of Expense: 20 %
Non-competitive grants Percent of Expense: %
Non-competitive contracts Percent of Expense: 80 %
Statutory or regulatory allocation to governmental agencies serving as umbrella agencies that purchase or directly operate services Percent of Expense: %
Other Percent of Expense: %
(The total for the above categories should equal 100 percent.)
According to county or regional priorities Percent of Expense: %
Methods for Determining Prices
There are also alternative ways a State can decide how much it will pay for services. Use the following checklist to describe how your State pays for services.
Complete any that apply. I n addressing a State's allocation of resources through various payment methods, a State may choose to report either the proportion of
expenditures or proportion of clients served through these payment methods. Estimated proportions are acceptable.
Line item program budget Percent of Clients Served: %
Percent of Expenditures: 20 %
Price per slot Percent of Clients Served: %
Percent of Expenditures: %
Rate: $ Type of slot:
Rate: $ Type of slot:
Rate: $ Type of slot:
Price per unit of service Percent of Clients Served: %
Percent of Expenditures: 80 %
Unit: OP/group couns/15 min Rate: $ 9.28
Unit: Res/adult/per day Rate: $ 74
Unit: Res/WWC/per day Rate: $ 95
Per capita allocation (Formula: )
Percent of Clients Served: %
Percent of Expenditures: %
Price per episode of care Percent of Clients Served: %
Percent of Expenditures: %
Rate: $ Diagnostic Group:
Rate: $ Diagnostic Group:
Rate: $ Diagnostic Group:
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Program Performance Monitoring
On-site inspections
Frequency for treatment: ANNUALLY
Frequency for prevention: ANNUALLY
Activity Reports
Frequency for treatment: NONE SELECTED
Frequency for prevention: NONE SELECTED
Management Information System
Patient/participant data reporting system
Frequency for treatment: NONE SELECTED
Frequency for prevention: NONE SELECTED
Performance Contracts
Cost reports
Independent Peer Review
Licensure standards - programs and facilities
Frequency for treatment: OTHER Every three years or sooner as needed
Frequency for prevention: NOT APPLICABLE
Licensure standards - personnel
Frequency for treatment: OTHER Ongoing
Frequency for prevention: OTHER Ongoing
Other:
Specify:
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Form 7
State Priorities
State Priorities
1
Promote the well-being of Oklahomans by encouraging
prevention specialists and consumer services providers
to actively participate in the primary healthcare delivery
system through health information technology.
2
Create prevention capable communities utilizing the
Stratregic Prevention Framework where individuals,
families, schools, workplaces, and communities have the
capacity and infrastructure to prevent and reduce
substance abuse across the lifespan.
3
Prevent the onset and prevent/reduce the problems
associated with the use of alcohol, tobacco and other
drugs across the lifespan as identified and measured
using epidemiological data.
4
Increase the use of prevention and treatment services
that are evidence-based, implemented with fidelity and
evaluated for effectiveness.
5
Expand the capacity of prevention and treatment
providers to meet the behavioral health needs of diverse
individuals and communities in a timely, culturally
competent, trauma-informed manner that promotes
recovery and an improved quality of life.
6
Develop systematic processes for analyzing data and
establishing data-driven policy decision methods to
effectively utilize prevention and treatment reseources,
improving the quality of services and outcomes for
individuals, families and communities.
7
Actively seek opportunities to collaborate and coordinate
efforts with community stakeholders within the state to
address homelessness.
8
Divert individuals with substance abuse and mental health
disorders from criminal and juvenile justice systems into
trauma-informed treatment and recovery.
9
Enhance support systems for Oklahoma military families,
connecting service members and families to supportive
and knowledgeable peers, and providing appropriate
referrals for behavioral health systems.
10
Actively promote health insurance reform for the
prevention and treatment of substance abuse disorders
to reduce current disparities.
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Goal #1: Improving access to Prevention and Treatment Services
The State shall expend block grant funds to maintain a continuum of substance abuse prevention and
treatment services that meet these needs for the services identified by the State. Describe the continuum of
block grant-funded prevention (with the exception of primary prevention; see Goal # 2 below) and treatment
services available in the State (See 42 U.S.C. §300x-21(b) and 45 C.F.R. §96.122(f)(g)).
Note: In addressing this narrative the State may want to discuss activities or initiatives related to: Providing
comprehensive services; Using funds to purchase specialty program(s); Developing/maintaining contracts
with providers; Providing local appropriations; Conducting training and/or technical assistance;
Developing needs assessment information; Convening advisory groups, work groups, councils, or boards;
Providing informational forum(s); and/or Conducting provider audits.
FY 2011- FY 2013 (Intended Use/Plan):
FY 2008 (Annual Report/Compliance):
FY 2010 (Progress):
OK / SAPT FY2011
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GOAL # 1. Improving access to prevention and treatment services: The State shall
expend block grant funds to maintain a continuum of substance abuse
prevention and treatment services that meet these needs for the services
identified by the State. Describe the continuum of block grant-funded
prevention (with the exception of primary prevention: see goal #2 below)
and treatment services available in the State (See 42 U.S.C. §300x-21(b)
and 45 C.F.R. §96.122(f)(g)).
FY 2011-FY2013 (Intended Use/Plan):
The Oklahoma Department of Mental Health and Substance Abuse Services
(ODMHSAS) will utilize block grant funding, grants and contracts, and state
appropriations to maintain a continuum of substance abuse treatment services within the
State.
Oklahoma will spend approximately 75% of the FFY 2011 block grant award on alcohol
and drug treatment services. The ODMHSAS will continue to contract with private, non-profit
and for-profit, certified agencies to provide detoxification, residential, halfway
house, outpatient, intensive outpatient, and early intervention services with substance
abuse block grant funds and state appropriations. These agencies include substance
abuse treatment facilities, community mental health centers, community action agencies,
youth and family services agencies, and Native American programs. Services will be
offered in facilities which serve males and/or females, women with children, and
adolescents. Three ODMHSAS-operated agencies will continue to provide residential
services. In addition, other public agencies will continue to provide contracted services
including the University of Oklahoma Health Sciences Center which provides screening,
assessment, and treatment planning for children with Fetal Alcohol Spectrum (FAS).
Substance abuse treatment programs are expected to treat approximately 22,000
consumers during this fiscal year.
The Department will continue to provide early intervention services through public
schools. Services will include working with school personnel and parents to develop
drug free strategies with high-risk or substance using students, educational programs,
screening and assistance with therapeutic linkages as needed. These programs will be
funded through state and federal treatment monies. In addition, a pilot program has been
initiated involving three Charter Schools and three contract adolescent substance abuse
providers to provide an evidence-based early intervention curriculum within the school
setting and communities utilizing state funds. This is an effort to expand services to an
at-risk and underserved population, within their communities. The ODMHSAS will
strive to sustain funding for programs and to continue to collect outcomes and determine
how these programs could be replicated.
Oklahoma is invested in expanding the practice of case management within the substance
abuse field by providing continual training and technical assistance. Standards have been
revised to require anyone providing case management to be a Certified Behavioral Health
Case Manager. Integrated, strength-based, person-centered case management plays an
FY 2011 - FY 2013 (INTENDED USE/PLAN)
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important role in treatment programs by linking consumers to needed services such as
employment, education, vocational skill development, child care, and health care. The
ODMHSAS case management staff will continue to explore ways to increase the
knowledge base and skill level for Certified Behavioral Health Case Managers through
training opportunities.
Oklahoma will continue to require standardized consumer evaluations, an individualized
approach to treating the consumer, family involvement if appropriate, case management,
the use of evidence-based practices, relapse prevention and connecting the consumer to
community self-help groups.
Oklahoma will continue monitoring provider programs by assigning each state-operated
and contract treatment program to a Field Services Coordinator (FSC). The FSC will
continue to be the primary contact for their assigned providers and responsible for linking
them with other appropriate ODMHSAS staff as needed, visiting the agency, conducting
site reviews, developing plans of correction and technical assistance needs for each
agency, as well as reviewing provider staffing, services and performance reports.
Technical assistance will be provided by the FSC or other Department staff, or through
workshops at meeting/conferences, as needed per the findings of the site review or as
requested by the provider. This monitoring approach allows the FSC to develop a
partnership with their providers and facilitates opportunities for discussions and
additional technical assistance to improve the quality of care provided for consumers.
Continued collaboration with the Oklahoma Department of Human Services (OKDHS)
TANF program will benefit both agencies’ consumers. OKDHS will provide TANF
funding to the ODMHSAS to subcontract with certified treatment agencies. Contracted
agencies will provide screening, assessment, and outpatient substance abuse services to
consumers receiving or making application for Temporary Assistance to Needy Families
(TANF) and individuals who have Child Welfare (CW) involvement. These services
provide valuable early intervention in many cases that will allow families to stay
together. The ODMHSAS will provide training, technical assistance, and program
monitoring. Immediate Access and other initiatives with TANF or Child Welfare
participants will continue to be pursued as a means of providing substance abuse services
to more individuals in need of treatment.
The ODMHSAS will continue to collaborate with the Oklahoma Health Care Authority
(OHCA), the state’s Medicaid agency, to access Medicaid funding for substance abuse
services. The Consolidated Claims Process (CCP) will allow service providers to submit
both ODMHSAS service invoices and Medicaid claims into one system. The system will
determin

Oklahoma
UNIFORM APPLICATION
FY2011
SUBSTANCE ABUSE PREVENTION AND TREATMENT
BLOCK GRANT
42 U.S.C.300x-21 through 300x-66
OMB - Approved 07/20/2010 - Expires 07/31/2013
(generated on 10/1/2010 12:07:53 PM)
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
Center for Substance Abuse Prevention
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Introduction:
The Substance Abuse Prevention and Treatment Block Grant represents a significant Federal
contribution to the States’ substance abuse prevention and treatment service budgets. The Public
Health Service Act [42 USC 300x-21 through 300x-66] authorizes the Substance Abuse Prevention
and Treatment Block Grant and specifies requirements attached to the use of these funds. The
SAPT Block Grant funds are annually authorized under separate appropriation by Congress. The
Public Health Service Act designates the Center for Substance Abuse Treatment and the Center
for Substance Abuse Prevention as the entities responsible for administering the SAPT Block Grant
program.
The SAPT Block Grant application format provides the means for States to comply with the
reporting provisions of the Public Health Service Act (42 USC 300x-21-66), as implemented by the
Interim Final Rule (45 CFR Part 96, part XI). With regard to the requirements for Goal 8, the
Annual Synar Report format provides the means for States to comply with the reporting provisions
of the Synar Amendment (Section 1926 of the Public Health Service Act), as implemented by the
Tobacco Regulation for the SAPT Block Grant (45 CFR Part 96, part IV).
Public reporting burden for this collection of information is estimated to average 454 hours per
respondent for Sections I-III, 40 hours per respondent for Section IV-A and 42.75 hours per
respondent for Section IV-B, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection
of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to SAMHSA Reports
Clearance Officer; Paperwork Reduction Project (OMB No. 0930-0080), 1 Choke Cherry Road,
Room 7-1042, Rockville, Maryland 20857. An agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it displays a currently valid OMB
control number. The OMB control number for this project is OMB No. 0930-0080.
The Web Block Grant Application System (Web BGAS) has been developed to facilitate States’
completion, submission and revision of their Block Grant application. The Web BGAS can be
accessed via the World Wide Web at http://bgas.samhsa.gov.
OMB No. 0930-0080 Approved: 07/20/2010 Expires: 07/31/2013 Page 2 of 311
Form 1
DUNS Number: 933662934-
Uniform Application for FY 2011-13 Substance Abuse Prevention and Treatment Block Grant
I. State Agency to be the Grantee for the Block Grant:
Agency
Name:
Oklahoma Department of Mental Health and Substance
Abuse Services
Organizational
Unit: Substance Abuse Services
Mailing
Address: P. O. Box 53277
City: Oklahoma City, OK Zip Code: 73152-3277
II. Contact Person for the Grantee of the Block Grant:
Name: Terri White, MSW, Commissioner and Secretary of
Health
Agency
Name:
Oklahoma Department of Mental Health and Substance
Abuse Services
Mailing
Address: P. O. Box 53277
City: Oklahoma City, OK Code: 73152-3277
Telephone: (405) 522-3877 FAX: (405) 522-0637
Email
Address: tlwhite@odmhsas.org
III. State Expenditure Period:
From: 7/1/2009 To: 6/30/2010
IV. Date Submitted:
Date: Original: Revision:
V. Contact Person Responsible for Application Submission:
Name: Mary Hagerty Telephone: (405) 522-3859
Email
Address: mhagerty@odmhsas.org FAX: (405) 522-3767
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Form 2 (Table of Contents)
Form 1 pg.3
Form 2 pg.4
Form 3 pg.5
1. Planning pg.15
Planning Checklist pg.34
Form 4 (formerly Form 8) pg.35
Form 5 (formerly Form 9) pg.37
How your State determined the
estimates for Form 4 and Form 5
(formerly Forms 8 and 9)
pg.38
Form 6 (formerly Form 11) pg.42
Form 6ab (formerly Form 11ab) pg.43
Form 6c (formerly Form 11c) pg.44
Purchasing Services pg.45
PPM Checklist pg.46
Form 7 pg.47
Goal #1:Improving access to
prevention and treatment services pg.48
Goal #2: Providing Primary
Prevention services pg.65
Goal #3: Providing specialized
services for pregnant women and
women with dependent children
pg.88
Programs for Pregnant Women and
Women with Dependent Children
(formerly Attachment B)
pg.94
Goal #4: Services to intravenous drug
abusers pg.102
Programs for Intravenous Drug Users
(IVDUs) ( formerly Attachment C) pg.109
Program Compliance Monitoring
(formerly Attachment D) pg.113
Goal #5: TB Services pg.116
Goal #6: HIV Services pg.120
Tuberculosis (TB) and Early
Intervention Services for HIV (formerly
Attachment E)
pg.124
Goal #7: Development of Group
Homes pg.128
Group Home Entities and Programs
(formerly Attachment F) pg.133
Goal #8: Tobacco Products pg.138
Goal #9: Pregnant Women
Preferences pg.140
Capacity Management and Waiting
List Systems (formerly Attachment G) pg.147
Goal #10: Process for Referring pg.151
Goal #11: Continuing Education pg.158
Goal #12: Coordinate Services pg.165
Goal #13: Assessment of Need pg.175
Goal #14: Hypodermic Needle
Program pg.189
Charitable Choice (formerly
Attachment I) pg.215
Waivers (formerly Attachment J) pg.217
Waivers pg.218
Form 8 (formerly Form 4) pg.221
Form 8ab (formerly Form 4ab) pg.222
Form 8c (formerly Form 4c) pg.223
Form 9 (formerly Form 6) pg.224
Provider Address Table pg.231
Form 9a (formerly Form 6a) pg.235
Form 10a (formerly Form 7a) pg.244
Form 10b (formerly Form 7b) pg.245
Description of Calculations pg.246
SSA (MOE Table I) pg.249
TB (MOE Table II) pg.251
HIV (MOE Table III) pg.253
Womens (MOE TABLE IV) pg.255
Form T1 pg.256
Form T2 pg.258
Form T3 pg.260
Form T4 pg.262
Form T5 pg.267
Form T6 pg.272
Form T7 pg.274
Treatment Performance Measures
(Overall Narrative) pg.276
Corrective Action Plan for Treatment
NOMS pg.281
Form P1 pg.283
Form P2 pg.284
Form P3 pg.285
Form P4 pg.286
Form P5 pg.287
Form P6 pg.288
Form P7 pg.289
Form P8 pg.290
Form P9 pg.291
Form P10 pg.292
Form P11 pg.293
P-Forms 12a- P-15 – Reporting
Period pg.294
Form P12a pg.295
Form P12b pg.297
Form P13 (Optional) pg.298
Form P14 pg.299
Form P15 pg.300
Corrective Action Plan for Prevention
NOMS pg.301
Prevention Attachments A, B, and C
(optional) pg.303
Prevention Attachment D (optional) pg.304
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Goal #15: Independent Peer Review pg.193
Independent Peer Review (formerly
Attachment H) pg.201
Goal #16: Disclosure of Patient
Records pg.205
Goal #17: Charitable Choice pg.210
Prevention Attachment D (optional) pg.304
Description of Supplemental Data pg.306
Attachment A, Goal 2 pg.308
Addendum - Additional Supporting
Documents (Optional) pg.310
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FORM 3: UNIFORM APPLICATION FOR FY 2011 SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK
GRANT
Funding Agreements/Certifications
as required by Title XIX, Part B, Subpart II and Subpart III of the Public Health Service (PHS) Act
c Title XIX, Part B, Subpart II and Subpart III of the PHS Act, as amended, requires the chief executive officer
(or an authorized designee) of the applicant organization to certify that the State will comply with the following
specific citations as summarized and set forth below, and with any regulations or guidelines issued in
conjunction with this Subpart except as exempt by statute.
SAMHSA will accept a signature on this form as certification of agreement to comply with the cited provisions of
the PHS Act. If signed by a designee, a copy of the designation must be attached.
I. Formula Grants to States, Section 1921
Grant funds will be expended “only for the purpose of planning, carrying out, and evaluating
activities to prevent and treat substance abuse and for related activities” as authorized.
II. Certain Allocations, Section 1922
 Allocations Regarding Primary Prevention Programs, Section 1922(a)
 Allocations Regarding Women, Section 1922(b)
III. Intravenous Drug Abuse, Section 1923
 Capacity of Treatment Programs, Section 1923(a)
 Outreach Regarding Intravenous Substance Abuse, Section 1923(b)
IV. Requirements Regarding Tuberculosis and Human Immunodeficiency Virus, Section 1924
V. Group Homes for Recovering Substance Abusers, Section 1925
Optional beginning FY 2001 and subsequent fiscal years. Territories as described in Section 1925(c)
are exempt.
The State “has established, and is providing for the ongoing operation of a revolving fund” in
accordance with Section 1925 of the PHS Act, as amended. This requirement is now optional.
VI. State Law Regarding Sale of Tobacco Products to Individuals Under Age of 18, Section 1926
 The State has a law in effect making it illegal to sell or distribute tobacco products to minors as
provided in Section 1926 (a)(1).
 The State will enforce such law in a manner that can reasonably be expected to reduce the extent to
which tobacco products are available to individuals under the age of 18 as provided in Section 1926
(b)(1).
 The State will conduct annual, random unannounced inspections as prescribed in Section 1926 (b)(2).
VII. Treatment Services for Pregnant Women, Section 1927
The State “…will ensure that each pregnant woman in the State who seeks or is referred for and
would benefit from such services is given preference in admission to treatment facilities receiving
funds pursuant to the grant.”
VIII. Additional Agreements, Section 1928
 Improvement of Process for Appropriate Referrals for Treatment, Section 1928(a)
 Continuing Education, Section 1928(b)
 Coordination of Various Activities and Services, Section 1928(c)
 Waiver of Requirement, Section 1928(d)
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FORM 3: UNIFORM APPLICATION FOR FY 2011 SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK
GRANT
Funding Agreements/Certifications
As required by Title XIX , Part B, Subpart II and Subpart III of the PHS Act (continued)
IX. Submission to Secretary of Statewide Assessment of Needs, Section 1929
X. Maintenance of Effort Regarding State Expenditures, Section 1930
With respect to the principal agency of a State, the State “will maintain aggregate State expenditures
for authorized activities at a level that is not less than the average level of such expenditures
maintained by the State for the 2-year period preceding the fiscal year for which the State is
applying for the grant.”
XI. Restrictions on Expenditure of Grant, Section 1931
XII. Application for Grant; Approval of State Plan, Section 1932
XIII. Opportunity for Public Comment on State Plans, Section 1941
The plan required under Section 1932 will be made “public in such a manner as to facilitate
comment from any person (including any Federal person or any other public agency) during the
development of the plan (including any revisions) and after the submission of the plan to the
Secretary.”
XIV. Requirement of Reports and Audits by States, Section 1942
XV. Additional Requirements, Section 1943
XVI. Prohibitions Regarding Receipt of Funds, Section 1946
XVII. Nondiscrimination, Section 1947
XVIII. Services Provided By Nongovernmental Organizations, Section 1955
I hereby certify that the State or Territory will comply with Title XIX, Part B, Subpart II and
Subpart III of the Public Health Service Act, as amended, as summarized above, except for those
Sections in the Act that do not apply or for which a waiver has been granted or may be granted by
the Secretary for the period covered by this agreement.
State:
Name of Chief Executive Officer or Designee:
Signature of CEO or Designee:
Title: Date Signed:
If signed by a designee, a copy of the designation must be attached
Oklahoma
Terri White, MSW
Commissioner and Secretary of Health
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1. CERTIFICATION REGARDING
DEBARMENT AND SUSPENSION
The undersigned (authorized official signing for the
applicant organization) certifies to the best of his or
her knowledge and belief, that the applicant, defined
as the primary participant in accordance with 45
C.F.R. Part 76, and its principals:
(a) are not presently debarred, suspended,
proposed for debarment, declared ineligible,
or voluntarily excluded from covered
transactions by any Federal Department or
agency;
(b) have not within a 3-year period preceding this
proposal been convicted of or had a civil
judgment rendered against them for
commission of fraud or a criminal offense in
connection with obtaining, attempting to
obtain, or performing a public (Federal, State,
or local) transaction or contract under a public
transaction; violation of Federal or State
antitrust statutes or commission of
embezzlement, theft, forgery, bribery,
falsification or destruction of records, making
false statements, or receiving stolen property;
(c) are not presently indicted or otherwise
criminally or civilly charged by a
governmental entity (Federal, State, or local)
with commission of any of the offenses
enumerated in paragraph (b) of this
certification; and
(d) have not within a 3-year period preceding this
application/proposal had one or more public
transactions (Federal, State, or local)
terminated for cause or default.
Should the applicant not be able to provide this
certification, an explanation as to why should be
placed after the assurances page in the application
package.
The applicant agrees by submitting this proposal
that it will include, without modification, the clause
titled "Certification Regarding Debarment,
Suspension, In eligibility, and Voluntary Exclusion
– Lower Tier Covered Transactions" in all lower
tier covered transactions (i.e., transactions with sub-grantees
and/or contractors) and in all solicitations
for lower tier covered transactions in accordance
with 45 C.F.R. Part 76.
2. CERTIFICATION REGARDING DRUG-FREE
WORKPLACE REQUIREMENTS
The undersigned (authorized official signing for the
applicant organization) certifies that the applicant will,
or will continue to, provide a drug-free work-place in
accordance with 45 C.F.R. Part 76 by:
(a) Publishing a statement notifying employees that the
unlawful manufacture, distribution, dispensing,
possession or use of a controlled substance is
prohibited in the grantee’s workplace and specifying
the actions that will be taken against employees for
violation of such prohibition;
(b) Establishing an ongoing drug-free awareness
program to inform employees about –
(1) The dangers of drug abuse in the workplace;
(2) The grantee’s policy of maintaining a drug-free
workplace;
(3) Any available drug counseling, rehabilitation,
and employee assistance programs; and
(4) The penalties that may be imposed upon
employees for drug abuse violations occurring in the
workplace;
(c) Making it a requirement that each employee to be
engaged in the performance of the grant be given a
copy of the statement required by paragraph (a)
above;
(d) Notifying the employee in the statement required by
paragraph (a), above, that, as a condition of
employment under the grant, the employee will –
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her
conviction for a violation of a criminal drug statute
occurring in the workplace no later than five
calendar days after such conviction;
(e) Notifying the agency in writing within ten calendar
days after receiving notice under paragraph (d)(2)
from an employee or otherwise receiving actual
notice of such conviction. Employers of convicted
employees must provide notice, including position
title, to every grant officer or other designee on
whose grant activity the convicted employee was
working, unless the Federal agency has designated a
central point for the receipt of such notices. Notice
shall include the identification number(s) of each
affected grant;
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(f) Taking one of the following actions, within
30 calendar days of receiving notice under
paragraph (d) (2), with respect to any
employee who is so convicted –
(1) Taking appropriate personnel action
against such an employee, up to and
including termination, consistent with
the requirements of the Rehabilitation
Act of 1973, as amended; or
(2) Requiring such employee to participate
satisfactorily in a drug abuse assistance
or rehabilitation program approved for
such purposes by a Federal, State, or
local health, law enforcement, or other
appropriate agency;
(g) Making a good faith effort to continue to
maintain a drug-free workplace through
implementation of paragraphs (a), (b), (c),
(d), (e), and (f).
For purposes of paragraph (e) regarding agency
notification of criminal drug convictions, the DHHS
has designated the following central point for receipt
of such notices:
Office of Grants and Acquisition Management
Office of Grants Management
Office of the Assistant Secretary for Management and
Budget
Department of Health and Human Services
200 Independence Avenue, S.W., Room 517-D
Washington, D.C. 20201
3. CERTIFICATION REGARDING LOBBYING
Title 31, United States Code, Section 1352, entitled
"Limitation on use of appropriated funds to
influence certain Federal contracting and financial
transactions," generally prohibits recipients of
Federal grants and cooperative agreements from
using Federal (appropriated) funds for lobbying the
Executive or Legislative Branches of the Federal
Government in connection with a SPECIFIC grant
or cooperative agreement. Section 1352 also
requires that each person who requests or receives a
Federal grant or cooperative agreement must
disclose lobbying undertaken with non-Federal
(non-appropriated) funds. These requirements
apply to grants and cooperative agreements
EXCEEDING $100,000 in total costs (45 C.F.R.
Part 93).
The undersigned (authorized official signing for the
applicant organization) certifies, to the best of his or
her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or
will be paid, by or on behalf of the under signed, to
any person for influencing or attempting to influence
an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection
with the awarding of any Federal contract, the
making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract,
grant, loan, or cooperative agreement.
(2) If any funds other than Federally appropriated funds
have been paid or will be paid to any person for
influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal
contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard
Form-LLL, "Disclosure of Lobbying Activities, "in
accordance with its instructions. (If needed, Standard
Form-LLL, "Disclosure of Lobbying Activities," its
instructions, and continuation sheet are included at
the end of this application form.)
(3) The undersigned shall require that the language of
this certification be included in the award documents
for all subawards at all tiers (including subcontracts,
sub-grants, and contracts under grants, loans and
cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact
upon which reliance was placed when this transaction
was made or entered into. Submission of this
certification is a prerequisite for making or entering
into this transaction imposed by Section 1352, U.S.
Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for
each such failure.
4. CERTIFICATION REGARDING PROGRAM
FRAUD CIVIL REMEDIES ACT (PFCRA)
The undersigned (authorized official signing for the
applicant organization) certifies that the statements
herein are true, complete, and accurate to the best of
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his or her knowledge, and that he or she is aware
that any false, fictitious, or fraudulent statements or
claims may subject him or her to criminal, civil, or
administrative penalties. The undersigned agrees
that the applicant organization will comply with the
Public Health Service terms and conditions of
award if a grant is awarded as a result of this
application.
5. CERTIFICATION REGARDING
ENVIRONMENTAL TOBACCO SMOKE
Public Law 103-227, also known as the Pro-
Children Act of 1994 (Act), requires that smoking
not be permitted in any portion of any indoor
facility owned or leased or contracted for by an
entity and used routinely or regularly for the
provision of health, day care, early childhood
development services, education or library
services to children under the age of 18, if the
services are funded by Federal programs either
directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee.
The law also applies to children’s services that are
provided in indoor facilities that are constructed,
operated, or maintained with such Federal funds.
The law does not apply to children’s services
provided in private residence, portions of facilities
used for inpatient drug or alcohol treatment,
service providers whose sole source of applicable
Federal funds is Medicare or Medicaid, or
facilities where WIC coupons are redeemed.
Failure to comply with the provisions of the law may
result
in the imposition of a civil monetary penalty of up to
$1,000 for each violation and/or the imposition of an
administrative compliance order on the responsible
entity.
By signing the certification, the undersigned certifies
that the applicant organization will comply with the
requirements of the Act and will not allow smoking
within any portion of any indoor facility used for the
provision of services for children as defined by the Act.
The applicant organization agrees that it will require
that the language of this certification be included in any
subawards which contain provisions for children’s
services and that all subrecipients shall certify
accordingly.
The Public Health Service strongly encourages all grant
recipients to provide a smoke-free workplace and
promote the non-use of tobacco products. This is
consistent with the PHS mission to protect and advance
the physical and mental health of the American people.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
APPLICANT ORGANIZATION DATE SUBMITTED
Commissioner and Secretary of Health
Oklahoma Department of Mental Health and Substance Abuse Services
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DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure.)
1. Type of Federal Action: 2. Status of Federal Action 3. Report Type:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
a. bid/offer/application
b. initial award
c. post-award
a. initial filing
b. material change
For Material Change Only:
Year
Quarter
date of last report
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and
Address of Prime:
Prime Subawardee
Tier , if known:
Congressional District, if known: Congressional District, if known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known: 9. Award Amount, if known:
$
10. a. Name and Address of Lobbying Entity
(if individual, last name, first name, MI):
b. Individuals Performing Services (including address if different
from No. 10a.) (last name, first name, MI):
11. Information requested through this form is authorized by
title 31 U.S.C. Section 1352. This disclosure of lobbying
activities is a material representation of fact upon which
reliance was placed by the tier above when this transaction
was made or entered into. This disclosure is required
pursuant to 31 U.S.C. 1352. This information will be
reported to the Congress semi-annually and will be
available for public inspection. Any person who fails to file
the required disclosure shall be subject to a civil penalty of
not less than $10,000 and not more than $100,000 for each
such failure.
Signature:
Print Name:
Title:
Telephone No.: Date:
Federal Use Only: Authorized for Local Reproduction
Standard Form - LLL (Rev. 7-97)
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DISCLOSURE OF LOBBYING ACTIVITIES
CONTINUATION SHEET
Reporting Entity: Page of
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INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation
or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. Section 1352. The
filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting
to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional
information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change
report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the
outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the
information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last
previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known.
Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward
recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include
but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks “subawardee”, then enter the full name, address, city, state and zip
code of the prime Federal recipient. Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level
below agency name, if known. For example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of
Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 [e.g., Request
for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan
award number; the application/proposal control number assigned by the Federal agency]. Include prefixes, e.g., ‘‘RFP-DE-
90-001.’’
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the
Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified
in item 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a).
Enter Last Name, First Name, and Middle Initial (MI).
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying
entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that
apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information
unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No.0348-
0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction
Project (0348-0046), Washington, DC 20503.
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ASSURANCES – NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction
Project (0348-0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact
the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional
assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance,
and the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share of
project costs) to ensure proper planning, management
and completion of the project described in this
application.
2. Will give the awarding agency, the Comptroller General of
the United States, and if appropriate, the State, through
any authorized representative, access to and the right to
examine all records, books, papers, or documents related
to the award; and will establish a proper accounting
system in accordance with generally accepted accounting
standard or agency directives.
3. Will establish safeguards to prohibit employees from
using their positions for a purpose that constitutes or
presents the appearance of personal or organizational
conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding
agency.
5. Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. §§4728-4763) relating to prescribed
standards for merit systems for programs funded under
one of the nineteen statutes or regulations specified in
Appendix A of OPM’s Standard for a Merit System of
Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to:
(a) Title VI of the Civil Rights Act of 1964 (P.L.88-352)
which prohibits discrimination on the basis of race, color
or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. §§1681-
1683, and 1685- 1686), which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act
of 1973, as amended (29 U.S.C. §§794), which prohibits
discrimination on the basis of handicaps; (d) the Age
Discrimination Act of 1975, as amended (42 U.S.C.
§§6101-6107), which prohibits discrimination on the basis
of age;
(e) the Drug Abuse Office and Treatment Act of 1972
(P.L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f) the
Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290
ee-3), as amended, relating to confidentiality of
alcohol and drug abuse patient records; (h) Title VIII
of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et
seq.), as amended, relating to non- discrimination in
the sale, rental or financing of housing; (i) any other
nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is
being made; and (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
7. Will comply, or has already complied, with the
requirements of Title II and III of the Uniform
Relocation Assistance and Real Property Acquisition
Policies Act of 1970 (P.L. 91-646) which provide for
fair and equitable treatment of persons displaced or
whose property is acquired as a result of Federal or
federally assisted programs. These requirements
apply to all interests in real property acquired for
project purposes regardless of Federal participation
in purchases.
8. Will comply with the provisions of the Hatch Act (5
U.S.C. §��1501-1508 and 7324-7328) which limit the
political activities of employees whose principal
employment activities are funded in whole or in part
with Federal funds.
9. Will comply, as applicable, with the provisions of the
Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the
Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874),
and the Contract Work Hours and Safety Standards
Act (40 U.S.C. §§327- 333), regarding labor
standards for federally assisted construction
subagreements.
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10. Will comply, if applicable, with flood insurance purchase
requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires
recipients in a special flood hazard area to participate in
the program and to purchase flood insurance if the total
cost of insurable construction and acquisition is $10,000
or more.
11. Will comply with environmental standards which may be
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the
National Environmental Policy Act of 1969 (P.L. 91-190)
and Executive Order (EO) 11514; (b) notification of
violating facilities pursuant to EO 11738; (c) protection of
wetland pursuant to EO 11990; (d) evaluation of flood
hazards in floodplains in accordance with EO 11988; (e)
assurance of project consistency with the approved State
management program developed under the Coastal
Zone Management Act of 1972 (16 U.S.C. §§1451 et
seq.); (f) conformity of Federal actions to State (Clear
Air) Implementation Plans under Section 176(c) of the
Clear Air Act of 1955, as amended (42 U.S.C. §§7401 et
seq.); (g) protection of underground sources of drinking
water under the Safe Drinking Water Act of 1974, as
amended, (P.L. 93-523); and (h) protection of
endangered species under the Endangered Species Act
of 1973, as amended, (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968
(16 U.S.C. §§1271 et seq.) related to protecting
components or potential components of the national wild
and scenic rivers system.
13. Will assist the awarding agency in assuring
compliance with Section 106 of the National Historic
Preservation Act of 1966, as amended (16 U.S.C.
§470), EO 11593 (identification and protection of
historic properties), and the Archaeological and
Historic Preservation Act of 1974 (16 U.S.C. §§
469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the
protection of human subjects involved in research,
development, and related activities supported by this
award of assistance.
15. Will comply with the Laboratory Animal Welfare Act
of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131
et seq.) pertaining to the care, handling, and
treatment of warm blooded animals held for
research, teaching, or other activities supported by
this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead based paint in construction
or rehabilitation of residence structures.
17. Will cause to be performed the required financial
and compliance audits in accordance with the Single
Audit Act of 1984.
18. Will comply with all applicable requirements of all
other Federal laws, executive orders, regulations and
policies governing this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
APPLICANT ORGANIZATION DATE SUBMITTED
Commissioner and Secretary of Health
Oklahoma Department of Mental Health and Substance Abuse Services
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1. Planning
THREE YEAR PLAN, ANNUAL REPORT, and PROGRESS REPORT:
PLAN FOR FY 2011-FY 2013 PROGRAM ACTIVITIES
This section documents the States plan to use the FY 2011 through FY 2013 Federal Substance Abuse
Prevention and Treatment (SAPT) Block Grant. For each SAPT Block Grant award, the funds are available
for obligation and expenditure for a 2-year period beginning on October 1 of the Federal Fiscal Year (FY) for
which an award is made. States are encouraged to incorporate information on needs assessment, resource
availability and States priorities in their plan to use these funds over the next three fiscal years. In the interim
years (FY 2012 and FY 2013), updates to this 3-year plan are required; however, if the plan remains
unchanged, additional narrative is not necessary. This section requires completion of needs assessment
forms, services utilization forms and a narrative description of the States planning processes.
1. Planning
This section provides an opportunity to describe the State’s planning processes and requires completion of
needs assessment data forms, utilization information and a description of the State’s priorities. In addition,
this section provides the State the opportunity to complete a three year intended use plan for the periods of
FY 2011-FY 2013. Finally this section requires completion of planning narratives and a checklist. These
items address compliance with the following statutory requirements:
• 42 U.S.C. §300x-29, 45 C.F. R. §96.133 and 45 C.F.R. §96.122(g)(13) require the State to submit a
Statewide assessment of need for both treatment and prevention.
The State is to develop a 3-year plan which covers the three (3) fiscal years from FFY 2011-FY 2013. In a
narrative of up to five pages, describe:
• How your State carries out sub-State area planning and determines which areas have the highest
incidence, prevalence, and greatest need.
• Include a definition of your State’s sub-State planning areas (SPA).
• Identify what data is collected, how it is collected and how it is used in making these decisions.
• If there is a State, regional or local advisory council, describe their composition and their role in the
planning process.
• Describe the monitoring process the State will use to assure that funded programs serve
communities with the highest prevalence and need.
• Those States that have a State Epidemiological Outcomes Workgroup (SEOW) must describe its
composition and contribution to the planning process for primary prevention and treatment planning.
States are encouraged to utilize the epidemiological analyses and profiles to establish substance
abuse prevention and treatment goals at the State level.
Describe how your State evaluates activities related to ongoing substance abuse prevention and treatment
efforts, such as performance data, programs, policies and practices, and how this data is produced,
synthesized and used for planning. A general narrative describing the States planned approach to using
State and Federal resources should be included. For the prevention assessment, States should focus on
the SEOW process. Describe State priorities and activities as they relate to addressing State and Federal
priorities and requirements.
• 42 U.S.C. §300x-51 and 45 C.F. R. §96.123(a)(13) require the State to make the State plan public in
OK / SAPT FY2011
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such a manner as to facilitate public comment from any person during the development of the plan.
In a narrative of up to two pages, describe the process your State used to facilitate public comment in
developing the State’s plan and its FY 2011-FY 2013 application for SAPT Block Grant funds.
For FY 2012 and FY 2013, only updates to the 3-year plan will be required. In the Section addressing the
Federal Goals, the States will still need to provide Annual and Progress reports. Fiscal reporting
requirements and performance data reporting will also be required annually.
The Prevention component of your Three Year Plan Should Include the Following:
Problem Assessment (Epidemiological Profile)
Using an array of appropriate data and information, describe the substance abuse-related problems in your
State that you intend to address under Goal 2. Describe the criteria and rationale for establishing
primary prevention priorities.
(See 45 C.F.R §96.133(a) (1))
Prevention System Assessment (Capacity and Infrastructure)
Describe the substance abuse prevention infrastructure in place at the State, sub-State, and local levels.
Include in this description current capacity to collect, analyze, report, and use data to inform decision
making; the number and nature of multi-sector partnerships at all levels, including broad-based community
coalitions. In addition, describe the mechanisms the SSA has in place to support sub-recipients and
community coalitions in implementing data-driven and evidence-based preventive interventions. If the State
sets benchmarks, performance targets, or quantified objectives, describe the methods used by the State to
establish these.
Prevention System Capacity Development
Describe planned changes to enhance the SSA’s ability to develop, implement, and support—at all levels
—processes for performance management to include: assessment, mobilization, and partnership
development; implementation of evidence-based strategies; and evaluation. Describe the challenges
associated with these changes, and the key resources the State will use to address these challenges.
Provide an overview of key contextual and cultural conditions that impact the State’s prevention capacity
and functioning.
Implementation of a Data-Driven Prevention System
Describe the mechanism by which funding decisions are made and funds will be allocated. Explain how
these mechanisms link funds to intended State outcomes. Provide an overview of any strategic prevention
plans that exist at the State level, or which will be required at the sub-State or sub-recipient level, including
goals, objectives, and/or outcomes. Indicate whether sub-recipients will be required to use evidence based
programs and strategies. Describe the data collection and reporting requirements the State will use to
monitor sub-recipient activities.
Evaluation of Primary Prevention Outcomes
Discuss the surveillance, monitoring, and evaluation activities the State will use to assess progress toward
achieving its capacity development and substance abuse prevention performance targets. Describe the way
in which evaluation results will be used to inform decision making processes and to modify implementation
plans, including allocation decisions and performance targets.
OK / SAPT FY2011
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1. Planning
The state is to develop a 3-year plan which covers the three (3) fiscal years from FFY
2011-FY 2013. In a narrative of up to five pages, describe:
• How your state carries out sub-state area planning and determines which areas
have the highest incidence, prevalence, and greatest need.
• Include a definition of your state’s sub-state planning areas (SPA).
• Identify what data is collected, how it is collected and how it is used in making
these decisions.
• If there is a state, regional or local advisory council, describe their composition
and their role in the planning process.
• Describe the monitoring process the state will use to assure that funded
programs serve communities with the highest prevalence and need.
• Those states that have a State Epidemiological Outcomes Workgroup (SEOW)
must describe its composition and contribution to the planning process for
primary prevention and treatment planning. States are encouraged to utilize the
epidemiological analyses and profiles to establish substance abuse prevention and
treatment goals at the state level.
Describe how your state evaluates activities related to ongoing substance abuse
prevention and treatment efforts, such as performance data, programs, policies and
practices, and how this data is produced, synthesized and used for planning. A general
narrative describing the states’ planned approach to using state and federal resources
should be included. For the prevention assessment, states should focus on the SEOW
process. Describe state priorities and activities as they relate to addressing state and
federal priorities and requirements.
• 42 U.S.C. §300x-51 and 45 C.F. R. §96.123(a)(13) require the state to make the
state plan public in such a manner as to facilitate public comment from any person
during the development of the plan.
In a narrative of up to two pages, describe the process your state used to facilitate public
comment in developing the state’s plan and its FY 2011-FY 2013 application for SAPT
Block Grant funds.
For FY 2012 and FY 2013, only updates to the 3-year plan will be required. In the
Section addressing the Federal Goals, the states will still need to provide Annual and
Progress reports. Fiscal reporting requirements and performance data reporting will also
be required annually.
The Prevention component of your Three Year Plan Should Include the Following:
Problem Assessment (Epidemiological Profile)
Using an array of appropriate data and information, describe the substance abuse-related
problems in your state that you intend to address under Goal 2. Describe the criteria and
rationale for establishing primary prevention priorities.
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(See 45 C.F.R §96.133(a) (1))
Prevention System Assessment (Capacity and Infrastructure)
Describe the substance abuse prevention infrastructure in place at the state, sub-state, and
local levels. Include in this description current capacity to collect, analyze, report, and
use data to inform decision making; the number and nature of multi-sector partnerships at
all levels, including broad-based community coalitions. In addition, describe the
mechanisms the SSA has in place to support sub-recipients and community coalitions in
implementing data-driven and evidence-based preventive interventions. If the state sets
benchmarks, performance targets, or quantified objectives, describe the methods used by
the state to establish these.
Prevention System Capacity Development
Describe planned changes to enhance the SSA’s ability to develop, implement, and
support—at all levels—processes for performance management to include: assessment,
mobilization, and partnership development; implementation of evidence-based strategies;
and evaluation. Describe the challenges associated with these changes, and the key
resources the state will use to address these challenges. Provide an overview of key
contextual and cultural conditions that impact the state’s prevention capacity and
functioning.
Implementation of a Data-Driven Prevention System
Describe the mechanism by which funding decisions are made and funds will be
allocated. Explain how these mechanisms link funds to intended state outcomes. Provide
an overview of any strategic prevention plans that exist at the state level, or which will be
required at the sub-state or sub-recipient level, including goals, objectives, and/or
outcomes. Indicate whether sub-recipients will be required to use evidence based
programs and strategies. Describe the data collection and reporting requirements the state
will use to monitor sub-recipient activities.
Evaluation of Primary Prevention Outcomes
Discuss the surveillance, monitoring, and evaluation activities the state will use to assess
progress toward achieving its capacity development and substance abuse prevention
performance targets. Describe the way in which evaluation results will be used to inform
decision making processes and to modify implementation plans, including allocation
decisions and performance targets.
PLANNING
Describe how your state carries out sub-state area planning and determines which areas
have the highest incidence, prevalence and greatest need. Include a definition of your
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state’s sub-state planning areas. Identify what data is collected, how it is collected, and
how it is used in making these decisions:
The Oklahoma Department of Mental Health and Substance Abuse Services
(ODMHSAS) utilizes needs assessment data developed through the Department’s
Decision Support Services Division and the Oklahoma State Epidemiological Outcomes
Workgroup (SEOW) for state and sub-state planning. In addition, sub-state and statewide
data from other agencies and federal sources are reviewed along with information from
providers, consumers, and stakeholders.
The internal assessment of the need for treatment was previously supported by the
Oklahoma Substance Abuse Needs Assessment Project (STNAP) contracts and grants
with the federal Center for Substance Abuse Treatment (CSAT) in Rockville, Maryland.
All phases of the needs assessment were completed with the third phase completed in
FFY2004. Since the estimates from the above referenced studies are dated, the
ODMHSAS began using the Office of Applied Studies National Survey on Drug Use and
Health prevalence estimates for Oklahoma in FFY2005. The data collected is by sub-state
planning regions and includes information on incidence, prevalence and need.
The Provider Performance Management Report (PPMR) for Substance Abuse Agencies
utilizes information from the Integrated Client Information System (ICIS), a database of
provider services, to develop a quarterly agency report of performance indicators. This
provides facilities and Department program staff with up-to-date performance
information. The provider information is also reviewed for planning and gaps in services
in each sub-state area.
In late April 2006, the weekly census/waiting list report to the Department’s Decision
Support Services (DSS) to comply with the 90% capacity reporting requirement was
replaced with a daily reporting system to a designated substance abuse services staff
person. Daily reporting by residential and halfway house programs has provided the
ODMHSAS with a more timely account of the percentage of capacity and which agencies
have available beds. The number of individuals waiting for treatment is also reported
through this Residential/Halfway House Capacity Report providing valuable information
on the needs within the state. Outpatient programs are able to admit clients as soon as
appointments can be made so waiting lists are not needed for those programs. The
ODMHSAS has now developed a secure online capacity report and staff are in the
process of moving providers onto that system. Waiting list data is captured through the
use of unique identifiers. Information from providers reporting to the online system is
collected in a database which will provide valuable information including capacity of
providers, bed availability, waiting lists information for each agency, an unduplicated
count of individuals waiting for treatment, priority populations waiting time, and interim
services data.
The ODMHSAS website www.odmhsas.org includes an informative ad hoc query
system, the Health Information Integrated Query System which includes prevalence and
needs data by sub-state regions. Users can create a personalized query to produce
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specific ODMHSAS data. These reports, too, are simple to use. They are generated
through the ‘Basic Query’ and the ‘Advanced Query’ functions and provide demographic
and count data for admitted clients for the last six years. The query system accesses over
1,500,000 records to produce results.
The Oklahoma Prevention Needs Assessment Survey (OPNA) was provided to
volunteering schools throughout Oklahoma in the spring of 2010. It is a risk and
protective factor survey that was developed and offered to schools in Oklahoma to give
them a snapshot of the communities in which they live. Participating schools throughout
the state surveyed sixth, eighth, tenth, and twelfth grade students. Each school receives
an analysis of the data from their school’s surveys and are encouraged to use the data for
resource development, prevention planning, and community education. In addition,
statewide and regional data are generated. This information is available to the Area
Prevention Resource Centers (APRCs), community coalitions, and the general public.
APRCs receive regular training on how to interpret and utilize OPNA data in their
prevention planning and strategy development. This local Oklahoma data will be
invaluable as schools, prevention programs, and local coalitions develop goals and
objectives and plan prevention services in their communities based on the Strategic
Prevention Framework (SPF). The OPNA is offered to schools every other year. The
prior survey was completed in the spring of 2008 and the next survey will take place in
2012.
The Oklahoma State Epidemiological Outcomes Workgroup (SEOW) was created
August 3, 2006 and modeled after the National Institute on Drug Abuse (NIDA)
community epidemiological work group. The SEOW is housed in the Oklahoma
Department of Mental Health & Substance Abuse Services (ODMHSAS) and is funded
through a federal grant from the Substance Abuse and Mental Health Services
Administration (SAMHSA), Center for Substance Abuse Prevention (CSAP). The
mission of Oklahoma SEOW is to improve prevention assessment, planning,
implementation, and monitoring efforts through the application of systematic, analytical
thinking about the causes and consequences of substance abuse. Oklahoma’s SEOW will
continue to compile and update data annually or as new data becomes available. In fiscal
year 2011, the ODMHSAS intends to make significant improvements to the state’s
prevention data system in three proposed ways: 1) creation of a web-based
epidemiological data query system as a common, real-time place to access data, analyze
data, and produce reports/graphs/charts/maps; 2) identification of methods to address
identified data gaps that exist at the state and local levels to effectively make data-driven
decisions and evaluate efforts; and 3) creation of a web-based prevention service data
reporting and tracking system that meets the evolving needs of federal funders,
ODMHSAS, and local-level providers. The Oklahoma SEOW will also examine
opportunities to expand its scope to meet the needs of other state agencies and to
collect/analyze data on other health-related issues.
Sources for the comprehensive epidemiological profile currently include:
• Arrestee Drug Abuse Monitoring Program
• Behavioral Risk Factor Surveillance Survey
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• Center for Disease Control and Prevention
• Ensuring Solutions to Alcohol Problems
• Fatality Analysis Reporting System
• National Institute on Alcohol Abuse and Alcoholism
• National Survey on Drug Use and Health
• National Vital Statistics System
• Oklahoma Bureau of Narcotics and Dangerous Drugs
• Oklahoma Department of Mental Health and Substance Abuse Services
• Oklahoma Highway Safety Office
• Oklahoma State Bureau of Investigation
• Oklahoma State Department of Health
• Oklahoma Tax Commission
• Oklahoma Violent Death Reporting System
• Oklahoma Youth Tobacco Survey
• Pacific Institute for Research and Evaluation
• Pregnancy Risk Assessment Monitoring System
• Smoking Attributable Mortality, Morbidity and Economic Costs
• Substance Abuse and Mental Health Services Administration
• United States Census Bureau
• Youth Risk Behavior Survey
The ODMHSAS regional planning system divides Oklahoma into eight sub-state
planning regions. Those regions include:
1. Central – Canadian, Cleveland, Grady, and McClain counties
2. East Central – Adair, Cherokee, Creek, Lincoln, McIntosh, Muskogee, Okfuskee,
Okmulgee, Sequoyah, and Wagoner counties
3. Northeast – Craig, Delaware, Kay, Mayes, Noble, Nowata, Osage, Ottawa,
Pawnee, Payne, Rogers, and Washington counties
4. Northwest - Alfalfa, Beaver, Cimarron, Ellis, Garfield, Grant, Harper, Kingfisher,
Logan, Major, Texas, Woods, and Woodward counties
5. Oklahoma County
6. Southeast – Atoka, Bryan, Carter, Choctaw, Coal, Garvin, Haskell, Hughes,
Johnston, Latimer, LeFlore, Love, Marshall, McCurtain, Murray, Pittsburg,
Pontotoc, Pottawatomie, Pushmataha, and Seminole counties
7. Southwest – Beckham, Blaine, Caddo, Comanche, Cotton, Custer, Dewey, Greer,
Harmon, Jackson, Jefferson, Kiowa, Roger Mills, Stephens, Tillman, and Washita
counties
8. Tulsa County
Of the eight sub-state areas, the Oklahoma County and Tulsa County regions are urban.
The Central region is a suburban area close to Oklahoma City, housing the University of
Oklahoma in Cleveland County. All other regions are rural.
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Oklahoma utilizes these eight sub-state areas for all substance abuse planning and needs
assessment data and information, including the data collected through the Decision
Support Services Division for TEDS and other needs assessment reporting.
If there is a state, regional, or local advisory council, describe their composition and their
role in the planning process.
Oklahoma works closely with the Oklahoma State Department of Health (OSDH) in
many areas including tobacco prevention, reduction of acute diseases including TB,
HIV/AIDS, and Hepatitis C, and coalition development to promote wellness in local
communities. Oklahoma does not have a substance abuse advisory council but most of
the prevention programs and several treatment providers participate with the local OSDH
coalitions. With this in mind, the ODMHSAS has joined forces with the Oklahoma State
Department of Health to participate in their Turning Point coalitions. Although there is
no formal advisory capacity, many of the ODMHSAS partners, prevention and treatment
programs, state and community agencies participate and suggestions or ideas are passed
on to the ODMHSAS leadership as needed. In addition, the ODMHSAS Prevention staff
participate with the State Turning Point Advisory Council.
The Area Prevention Resource Centers (APRCs) partner with community coalitions,
including those in the Turning Point network, at the local levels within each service
region. Each APRC in partnership with their associated community coalitions conduct
local level needs assessments to identify priority issues (alcohol, tobacco, and other drug
consumption/consequences) and intervening variables/causal factors that contribute to the
identified priorities. Strategic plans are developed utilizing the needs assessments
findings.
The ODMHSAS prevention staff collaborate with the Oklahoma State Departments of
Education and Health, the Governor’s Office, the Oklahoma Commission on Children
and Youth, and other agencies, task forces, work groups, planning and community groups
throughout Oklahoma. Examples of this include the Governor’s Task Force on the
Prevention of Underage Drinking, the Oklahoma Prevention Leadership Collaborative,
Oklahoma Crystal Darkness Collaborative, the SEOW, the Oklahoma Health
Improvement Plan flagship workgroups, and the Oklahoma Partnership Initiative Steering
Committee. The Department will continue to actively contribute to the Oklahoma
Prevention Leadership Collaborative to help influence other prevention leadership bodies
in the state to utilize the principles of the Strategic Prevention Framework and advocate
for the coordination of prevention services and resources. The Collaborative was
developed in 2010 to promote coordinated planning, implementation, and evaluation of
quality prevention services for children, youth, and families at the state and local levels
with a particular focus on the prevention of mental, emotional, and behavioral health
disorders, related problems (i.e. alcohol and other drug use), and contributing risk factors.
Oklahoma was awarded the Transformation State Incentive Grant (TSIG) in FFY 2005.
While the grant is directed at transformation of mental health systems, the ODMHSAS is
also responsible for providing substance abuse services and since the management of
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mental health and substance abuse disorders share many common approaches, Oklahoma
determined that transformation activities should include both the mental health and
substance abuse service systems. Because people with mental health and substance abuse
problems receive services from a number of state agencies and to ensure the participation
of all other state agencies that may impact this population, in December 2005, Governor
Brad Henry issued an Executive Order establishing the Governor’s Transformation
Advisory Board (GTAB) to guide transformation activities. The 28-member panel
includes the heads of eleven state agencies, representatives from the State Senate and
House of Representatives, the law enforcement community, the state’s Indian Nations,
the Indian Health Services, the chair of the Mental Health Planning and Advisory
Council, eight representatives of consumer, youth and family advocacy organizations,
and representatives from private industry and the philanthropic community. The GTAB
Board continues to aid Oklahoma’s planning and transformation efforts.
The Department’s Governing Board has three members who represent substance abuse
issues specifically. The Department’s executive staff work closely with board members.
The ODMHSAS governing board is a strong partner in the planning process.
Additional organizations with which the ODMHSAS maintains open communication and
which work with the Department throughout the year, providing advice and counsel to
the Department include:
The Oklahoma Substance Abuse Services Alliance (OSASA), a statewide organization,
composed primarily of public and non-profit prevention and treatment providers. This
organization serves as an advocate for substance abuse services, as well as for prevention
and treatment programs.
The Oklahoma Citizen Advocates for Recovery and Treatment Association (OCARTA)
is a statewide recovery organization dedicated to empowering recovering people and their
families, reducing the stigma associated with addiction, and advocating for the recovery
community.
The Oklahoma Prevention Policy Alliance (OPPA), a statewide advocacy organization
composed of state and community prevention professionals.
The ODMHSAS is committed to developing and supporting statewide prevention and
recovery advocacy group(s) comprised of concerned or recovering citizens dedicated to
reducing the stigma of addiction, advocating for prevention and treatment services and
publicizing the fact that treatment works. It is the desire of the Department to be
affiliated with prevention and recovery groups which will be able to contribute to the
planning process through their recommendations as independent advocacy organizations.
The Department encourages advice from many different sources, keeping an open door to
all.
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Describe the monitoring process the state will use to assure that funded programs serve
communities with the highest prevalence and need.
The Integrated Client Information System (ICIS), a public online ad-hoc query system
called the Health Information Integrated Query System (HI-IQs), along with preformatted
reports and the Provider Performance Management Report (PPMR) provide information
on prevention and consumer services throughout the sub-state regional areas of
Oklahoma. This data allows for the monitoring of services to assure that communities
with the greatest need are the communities receiving services.
Beginning July 1, 2010, treatment providers began utilizing the Consolidated Claims
Process (CCP), a combined service database and fee-for-service payment system
developed through a partnership with the Oklahoma Health Care Authority, the state
Medicaid agency. The CCP collects service, outcome and demographic data and will
greatly enhance providers’ ability to work with Medicaid. The Department expects more
consumers to be treated, and additional Medicaid dollars to pay for behavioral health
services as a result.
Data on substance abuse services through either the Medicaid or the ODMHSAS system
will be reported into the CCP system. Individual-level data include consumer
demographics, presenting problems, benefits information, Addiction Severity Index
scores, drugs of choice, frequencies of use, routes of administration, and ages of first use.
Information is also gathered on all services provided to consumers, the duration of those
services, and identifying information of staff members providing the services. Using a
unique client identifier, services can be linked to the client characteristics, and tracked
across agencies and over time. Annual reports and ad-hoc queries will continue to be
available through the ODMHSAS website at www.odmhsas.org.
The Provider Performance Management Report will utilize information from the CCP
database to develop a quarterly agency report providing facilities and Department
program staff with up-to-date performance information. This information is available
throughout the year for planning and identification of gaps in services in each sub-state
area.
All of the above information, in addition to Needs Assessment information, provider and
consumer input, and various other sources, is utilized to provide quality services to
consumers in need of such services. As indicators show an area to have a higher
prevalence of need and as funding becomes available, every effort is made to increase
services in that area.
Describe the state’s Epidemiological Outcomes Workgroup’s composition and
contribution to the planning process for primary prevention and treatment planning.
States are encouraged to utilize the epidemiological analyses and profiles to establish
substance abuse prevention and treatment goals at the state level. Describe how your
state evaluates activities related to ongoing substance abuse prevention efforts, such as
programs, policies and practices, and how this data is used for planning. For the
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prevention assessment, states should focus on the SEOW process. Provide a summary of
how data/data indicators were chosen, as well as, key data construct and indicators for
understanding state-level substance use patterns and related consequences and
mechanisms for tracking data and reporting significant changes should be outlined.
The Oklahoma State Epidemiological Outcomes Workgroup (SEOW) is a
multidisciplinary workgroup whose members are connected to key decision-making and
resource allocation bodies in the state. This workgroup, funded through a Federal grant
from SAMHSA/CSAP, was established by ODMHSAS in 2006 and is patterned after the
National Institute on Drug Abuse (NIDA) community epidemiological workgroup.
Oklahoma’s SEOW is charged with improving prevention assessment, planning,
implementation, and monitoring efforts through data collection and analysis that
accurately assesses the causes and consequences of the use of alcohol, tobacco, and other
drugs and drives decisions concerning the effective and efficient use of prevention
resources throughout the state.
The Oklahoma State Epidemiological Outcomes Workgroup (SEOW) was convened to
collect and report on substance abuse consumption and consequence data to help identify
and monitor state priorities for ODMHSAS and other agencies. The SEOW is tasked
with analyzing the state epidemiological data to determine problem or emerging alcohol,
tobacco, and other drug consumption and consequence patterns. Using CSAP
recommendations, data indicators for each substance are chosen based on the following
criteria.
1) National source. The measure must be available from a centralized, national data
source.
2) Availability at state level. The measure must be available in disaggregated form
at the state (or lower geographic) level.
3) Validity. There must be research-based evidence that the data accurately measure
the specific construct and yield a true snapshot of the phenomenon at the time of
assessment. These criteria are used to eliminate measures that look at face value
as if they assess a particular construct, but are in fact poor or unproven proxy
measures and thus do not accurately reflect the construct.
4) Trend. The measure should be available for the past 3 to 5 years, preferably on an
annual basis, but no less than a biennial basis. This enables the state to determine
not only the level of an indicator but also its trends.
5) Consistency. The measure must be consistent (i.e., the method or means of
collecting and organizing data should be relatively unchanged over time, such that
the method of measurement is the same from time i to time i+1). Alternatively, if
the method of measurement has changed, sound studies or data should exist that
determine and allow adjustment for differences resulting from data collection
changes.
6) Sensitivity. For monitoring, the measure must be sufficiently sensitive to detect
change over time.
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This data focus—collection, analysis, and use—is entrenched in each step of the Strategic
Prevention Framework, which is utilized in block grant funded prevention service
delivery. Epi data continually informs the process. The formal assessment of contextual
conditions, needs, resources, readiness, and capacity is used to identify priority issues in
Step 1. In Step 2, data are shared to generate awareness, spur mobilization, and leverage
resources. In Step 3, assessment data are used to drive the development of a strategic plan
and guide the selection of evidence-based strategies. Data are used in Step 4 to inform
(and, if necessary, revise) the implementation plan. And finally, data are collected to
monitor progress toward outcomes, and findings are used to make adjustments and
develop sustainable prevention efforts. Oklahoma will begin contracting for evaluation
services on the prevention block grant in fiscal year 2011. The contractor, the University
of Oklahoma College of Public Health, will develop an improved framework for tracking
data and reporting significant changes. Currently, Oklahoma collects and reports on
National Outcome Measures and the additional SEOW indicators outlined below.
To study the nature and extent of the problem of alcohol, tobacco, and other drug use in
Oklahoma, the state’s SEOW utilized the CSAP model for consequence and consumption
indicators. The following represents Oklahoma’s latest SEOW profile for 2010.
Table 1. Alcohol, Tobacco, Illicit Drugs, and Prescription Drug Consumption and
Consequence Indicators
Alcohol Tobacco Illicit Drugs Prescription Drugs
Consumption • Current use •Current use • Current use
• Age of initial use •Lifetime use
•Age of initial use
• Drinking and driving
Consequence •Alcohol‐related mortality
• Alcohol‐related Crime
•Dependence or abuse
•Total cigarette use
consumption per
capita
• Apparent per capita alcohol
• Alcohol‐related motor vehicle
crashes
•Tobacco‐related
mortality
•Illicit drug‐related
mortality
•Ilicit drug‐related
crime
•Dependence or
abuse
•Prescription opiate��related
mortality
• Current use
• Heavy drinking
• Age of initial use
• Current binge drinking
• Alcohol use during pregnancy
•Tobacco use during
pregnancy
Alcohol Consumption
According to Oklahoma’s Youth Risk Behavior Survey (YRBS), in 2009, 39.0 percent of
students in grades 9–12 reported current alcohol consumption. That percentage is
consistent with data collected by the National Survey on Drug Use and Health (NSDUH)
for the population aged 12 and older, which showed 42.5 percent of respondents were
current drinkers in 2007. NSDUH and YRBS data also showed between 21 and 28
percent of adolescents were binge drinkers at the time of the surveys. Although youth
binge drinking is on the decline, with the exception of 2009, Oklahoma has been
consistently above the national average for this behavior according to the YRBS.
NSDUH data from 2007 indicated 37.4 percent of 18- to 25-year-olds and 9.0 percent of
12- to 17-year-olds were binge drinkers. The 2009 YRBS showed 19.4 percent of
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Oklahoma students in grades 9–12 reported early initiation of alcohol; a continued
indication of a steady decline in that behavior since the 2003 YRBS report of 26.8
percent.
While adolescent drinking and driving is trending downward, Oklahoma continues to
have percentages higher than the national average. In 2003, Oklahoma’s percentage of
adolescent drunk driving was 17.5 percent, which was 45 percent higher than the national
average. This dropped to 11.0 percent in 2009, which was 13 percent higher than the
national average of 9.7 percent.
Indicators from the 2009 Behavioral Risk Factor Surveillance System (BRFSS) show
Oklahoma is lower than the national average in current alcohol consumption, heavy
consumption, and binge drinking among adults. In 2009, 42.6 percent of Oklahoma adults
reported current alcohol consumption, which was 27 percent lower than the national
average of 54.3 percent.
Although lower than the national average, NSDUH data indicates Oklahoma’s percentage
of binge drinking among persons 12 and older has increased from 2003-2007. The
percentage was 19.01 in 2003 and 21.2 in 2007.
Data from the Pregnancy Risk Assessment Monitoring Survey (PRAMS) show that
alcohol use among pregnant women has been climbing in Oklahoma since 2003, when
2.5 percent of pregnant women had consumed alcohol during the last 3 months of their
pregnancy. In 2007, the percentage had increased to 4.8 percent of pregnant women.
Alcohol Consequences
Oklahoma is consistently above the national average in alcohol-related mortality. Long-term
alcohol consumption is associated with chronic liver disease. The relationship
between alcohol use and suicide is also well documented, according to CSAP. Both
chronic liver deaths and suicide deaths have been on the rise in Oklahoma since 2003.
According to the Uniform Crime Reports (UCR), Oklahoma has also been consistently
above the national average in crimes related to alcohol use which include aggravated
assaults, sexual assaults, and robberies. Since 2003, there has been an 18.1 percent
increase.
Fatality Analysis Reporting System (FARS) data show that Oklahoma has maintained a
steady rate of fatal crashes involving an alcohol-impaired driver. In 2003, Oklahoma’s
alcohol-impaired driver fatality rate was 31.3 percent, and in 2008, that figure remained
relatively stable at 31.6 percent. National percentages for those years were 30.3 and 31.4,
respectively.
Tobacco Consumption
According to the 2007 NSDUH, 30.6 percent of Oklahomans aged 12 and older were
current cigarette smokers, which was above the national average of 24.2 percent. Data
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from the 2009 BRFSS also showed Oklahomans’ daily cigarette smoking exceeding that
of the United States population as a whole, at 25.4 percent vs. 17.9 percent, respectively.
The YRBS shows indicators in tobacco use among adolescents have been falling in
Oklahoma since 2003, with students who smoked their first cigarette before the age of 13
decreasing by half since that year.
Smoking among pregnant women is climbing in Oklahoma according to PRAMS. In
2003, 16.2 percent of pregnant women reported they had smoked during the last 3 months
of their pregnancy; in 2007, the most recent PRAMS for which data are currently
available, the percentage of pregnant women who smoked during the last 3 months of
pregnancy had jumped to 21.3.
Tobacco Consequences
National Vital Statistics System (NVSS) data show deaths from both chronic obstructive
pulmonary disease (COPD) and emphysema for Oklahoma are above the national
average.
Illicit Drug Consumption
The YRBS shows daily marijuana use for high school students in grades 9–12 is
decreasing; 22.0 percent were daily users in 2003, while just 15.9 percent reported this
behavior in 2007.
According to NSDUH, Oklahoma has been consistently above the national average
among persons aged 12 and older reporting the use of any illicit drug other than
marijuana. The percentages were 4.1 in 2004 and 4.6 in 2007. The national percentages
for those same years were 3.4 and 3.7, respectively.
Although still above the national average, youth methamphetamine use continues to
decline in Oklahoma according to the YRBS. Since 2003, the percentage of youth
methamphetamine users has dropped by half.
The YRBS also shows Oklahoma exceeds the national average in cocaine, ecstasy,
steroid, and inhalant use. Although above the national average, cocaine use in Oklahoma
has dropped from 9.2 percent in 2003 to 7.4 percent in 2009.
Although initially below the national average in years 2003–2007, adolescent use of
inhalants is on a steady ascent. In 2009, 12.7 percent of Oklahoma adolescents reported
inhalant use, surpassing the national average of 11.7 percent.
Illicit Drug Consequences
The latest NVSS data show that Oklahoma exceeds the nation in number of deaths due to
drug-related behavior. In 2006, the rate per 100,000 was 17.3 for Oklahoma and 12.8 for
the United States as a whole.
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The number of drug-related crimes (larceny, burglary, motor vehicle theft) in Oklahoma
also outstrips that of the nation; in 2008, Oklahoma reported 3,442.4 per 100,000
compared to the national rate of 3,212.5 per 100,000. However, Oklahoma’s 2008 rate
does represent a decline for the state, which reported drug-related crimes of 4042.0 per
100,000 in 2005.
Prescription Drug Consumption
According to data from the 2007 NSDUH, Oklahomans aged 12 and older exceeded the
national average for the consumption of painkillers for nonmedical use by 232 percent.
This is a 22 percent increase since 2004.
Prescription Drug Consequences
Although hospital inpatient discharge data were not indicators used in scoring, they were
presented to the State Epidemiological Outcomes Workgroup (SEOW) due to the paucity
of indicators regarding prescription drugs. Oklahoma hospital data associated with
opiates have shown a 91 percent increase since 2003. Although this is a general category
for opiates, for all practical purposes, heroin is the only illicit opiate taken into account.
NVSS data show there has been a 328 percent increase in opiate-related deaths in
Oklahoma since 1999. In 2006, Oklahoma ranked 4th in the nation for opiate overdose
deaths, exceeding the national average by 123 percent.
American Indian
In 2000, the American Indian and Alaska Native (AI/AN) population in Oklahoma was
266,801, comprising 8 percent of the state’s total population and ranking Oklahoma
second among all states for AI/AN population. Alcohol and tobacco consumption is a
significant problem in this population.
According to data from the 2009 BRFSS, 14.2 percent of AI/AN adults reported binge
drinking, and 4.0 percent reported heavy drinking; both percentages exceed those
reported by any other race. Smoking consumption was also highest among this group
according to the BRFSS. In 2009, 31.9 percent AI/ANs reported current smoking
compared to all other races (25.0 percent).
Data from the Oklahoma State Bureau of Investigation (OSBI) show Oklahoma’s AI/AN
population had substantially greater alcohol-related arrests (i.e., driving under the
influence, liquor law violations and drunkenness) at 44 percent; lower drug law violation
arrests (i.e., all drug arrests reported as sale/manufacturing and possession) at 8 percent;
and lower index crime arrests (i.e., murder, rape, robbery, aggravated assault, burglary,
larceny, and motor vehicle theft) at 10 percent, compared to all races combined (29
percent, 14 percent, and 13 percent, respectively).
From fiscal years (FYs) 2001–2008, Oklahoma’s AI/AN population had consistently high
rates of persons served in substance abuse treatment facilities compared to Whites and
people of all races combined.
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Older Adults
Older Oklahomans, aged 65 and above, are the fastest growing segment of the state’s
population. In 2006, Oklahoma had the 19th-highest number of persons aged 65 and over,
with 475,637 individuals falling into this category (U.S. Census Bureau, 2006). The
population ages 60 and older increased by 18.2 percent from 1980 to 2000. This is
substantially higher than the national average of 12.4 percent. In 2000, Oklahoma ranked
13th in terms of the percentage of the total population 60 years and older. This high
growth rate among senior citizens outpaced Oklahoma’s overall growth rate of 14 percent
for the same period. The very old (85 years and older) experienced the most notable
growth rate of 61 percent from 1980 to 2000. It is estimated that while Oklahoma’s total
population will grow at a relatively slow pace (10.2 percent), those 65 years and over will
increase by over 60 percent between 2007 and 2030. Further, the state’s population ages
85 years and older is expected to increase by 50 percent during the same time period
(U.S. Census Bureau, 2006).
According to Oklahoma’s 2009 BRFSS, 78.8 percent of persons aged 65–74 said that
they always or usually received support. This was down from 2005, when the percent was
83.1. Conversely, this among persons aged 75 and older, 77.6 percent always or usually
received support in 2005 and 78.4 percent did in 2009.
Another significant characteristic within the state’s older populations is grandparents
raising grandchildren. Approximately 43,000 older Oklahomans are responsible for their
grandchildren; of these, 16,200 have been responsible for the care of their grandchildren
5 years or longer. Grandparents living with grandchildren under 18 years of age for the
population 30 years and over households are shown in the following table.
Household types United States Oklahoma
Total households 30+ years 158,881,037 1,915,455
Grandparents living with grandchildren under 18 5,771,671 67,194
Grandparents responsible for their grandchildren 2,426,730 39,279
Grandparents responsible for their grandchildren 5 years or
more 933,408 14,714
Source: U.S. Census 2000
Veterans and Military Families
In Oklahoma, 12.5 percent (333,358) of the state’s citizens are veterans, with 20.7
percent having served in the Gulf War, 35.1 percent having served in Vietnam Conflict,
12.7 percent having served in the Korean War, and 13 percent having served in World
War II. The American Forces News Services reports that over 47,000 individuals based
in Oklahoma are active in military operations and 24,500 have been deployed since
American troops entered Afghanistan (www.usmilitary.about.com. 2008). In addition to
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other mental health disorders, 20 percent of returning veterans suffer posttraumatic stress
disorder.1
According to the OVDRS, 23 percent of suicide deaths between 2004 and 2007 were
veterans, which represented 76 percent of all violent deaths among veterans. In addition,
a comparison of mortality between Operation Enduring Freedom/Operation Iraqi
Freedom veterans and the general U.S. population (adjusted for age, sex, race, and
calendar year) showed evidence of a 21 percent excess of suicides among veterans
through 2007. Although the evidence is preliminary, it suggests decreased suicide rates
since 2006 among veterans of both sexes aged 18–29 who have used Veterans Health
Administration (VHA) health care services relative to veterans in the same age group
who have not. This decrease in rates translates to approximately 250 lives per year.
Finally, more than 60 percent of suicides among users of VHA services include patients
with a known diagnosis of a mental health condition.
Incarcerated Women
According to the Oklahoma Department of Corrections (ODOC), Oklahoma leads the
nation in the rate of female offender incarceration at 131 per 100,000 population, a
significant departure from the national average of 69 per 100,000 population. As of 2006,
2,213 women were incarcerated in the state of Oklahoma, and the state’s female inmate
population is growing more rapidly than its male inmate population. Analogous to this
rise in incarcerated females is a rise in incarcerated female drug use (i.e., both personal
use and drug-related crimes).
From 2001 to 2007, the number of female prison admissions per year increased by 136
(12 percent). Of the total female prison admissions during this time, 5,308 (61 percent)
were White; 2,141 (24 percent) were Black; 998 (11 percent) were American Indian or
Alaska Native; and 274 (3 percent) were Hispanic.
According to the Bureau of Justice Statistics (2002), 52 percent of the nation’s female
inmates were dependent on drugs or alcohol. Of all the offenses listed for incarcerated
women between 2001 and 2007 in Oklahoma, approximately 70 percent were associated
with a controlled substance (i.e., a drug or chemical substance whose possession and use
are controlled by law), alcohol, or both.
Describe state priorities and activities as they relate to addressing state and federal
priorities and requirements:
State and federal priorities are closely linked. State priorities focus on the well-being of
Oklahomans just as our federal partners focus on the well-being of individuals throughout
the nation. Many of the same issues face us all. Oklahoma has been working with the
Oklahoma Healthcare Authority, which is the state Medicaid agency, to develop the
Consolidated Claims Process, a system that will be a rich source of consumer data for
both systems.
1 Edmond Sun, August 13, edmondsun.com, “Veterans face mental health risks.”
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Oklahoma has been developing a statewide telehealth network to improve access to
services for consumers in rural areas. Oklahoma is delivering behavioral healthcare to
rural Oklahomans via a telehealth network. This network consists of 131 endpoints at 81
sites throughout Oklahoma. The current reimbursable services that are being delivered
are a) medication clinics (psychopharmacological management), b) individual therapy
sessions, c) consultations, and d) assessments (both routine and emergency). Along with
the reimbursable services delivered, the Department is also using this technology for
administrative meetings, trainings (for both CEU’s and CME’s), and court proceedings
(commitment hearings, etc).
This service delivery approach increases access to information and services for rural
Oklahomans who, without this technology, would continue to be at a significant
disadvantage as compared to their metro counterparts. It reduces the cost of seeking
services for the consumer, as well as the cost of providing services for the clinician.
Evidence-based programs are being utilized by prevention and treatment agencies to
provide quality and effective services. Training on evidence-based models and treatment
approaches, such as motivational interviewing, cognitive behavioral therapy, the strategic
prevention framework and others will be presented at various sites throughout the state
and at appropriate conferences to enhance the quality of services for consumers.
Oklahoma will continue to work with providers to increase the use of these programs.
The ODMHSAS models and promotes cultural competency through monthly cultural
events at the administrative offices. To advance cultural information, providers are
contractually required to participate in cultural competency training each year. In
addition, Oklahoma received technical assistance through training in cultural competency
in SFY 2010 through the Center for Substance Abuse Treatment for the Field Services
Coordinators (FSCs). This information will help FSCs assist providers in providing
culturally competent services for consumers. To support all its cultural competency
initiatives, the ODMHSAS has purchased access to the Culture Vision web service,
which has been made available to all ODMHSAS funded providers in the state. Culture
Vision provides information about history, culture, customs, and beliefs of many
countries, religions, and cultural groups and is available on-line for easy access. Culture
Vision is a readily available resource of cultural information for our treatment provider
network.
Many ODMHSAS consumers have faced multiple traumas during their use of alcohol
and other substances. To help with recovery, Oklahoma strives to create a system that
understands the impact of trauma, and consequently provides trauma sensitive services to
all Oklahomans. Many substance abusers and mentally ill individuals face the loss of
their incomes and homes, finding themselves without a place to live and without
resources. Oklahoma is working with the Coalition for the Needy and street outreach
programs to provide services and resources for homeless individuals, encouraging them
to participate in treatment services and assisting with recovery resources.
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Oklahoma’s drug court programs provide a highly-structured alternative to incarceration
for eligible offenders in the criminal justice system. With oversight from the
ODMHSAS, multidisciplinary teams work together to increase participant accountability
through intensive substance abuse and judicial supervision, focusing on recovery and
improvement in all areas of life. Presently, 53 drug courts are in operation, comprised of
41 adult drug courts, 8 juvenile drug courts, and 4 family courts. In addition, 10 mental
health courts have been implemented. Drug courts are a smart investment. The average
annual cost of incarceration in the Oklahoma Department of Corrections is $19,000 per
person, compared with the average annual per person cost for drug court participation of
$5,000.
The ODMHSAS Prevention Services has been awarded the Strategic Prevention
Framework (SPF) State Incentive Grant. Prevention has been focusing on educating
communities in the SPF. Local coalitions develop action plans for the prevention needs
in their areas. The SPF SIG funding will afford the opportunity to increase the
development of prevention capable communities.
Many of Oklahoma’s priorities reflect SAMHSA’s 10 Strategic Initiatives. As noted
above, Oklahoma faces many of the same issues that are felt nationally.
Describe the process your state used to facilitate public comment in developing the
state’s plan and its FFY 2010 application for SAPT Block Grant funds.
The ODMHSAS website provides access to multiple types of information for the public.
It has become an invaluable communication tool. After the SAPT Block Grant
Application is drafted and has been through a first review, a copy is posted on the website
at www.odmhsas.org. A news release inviting comments is issued and picked up by
multiple newspapers throughout the state. The news release is also emailed to providers.
For the 2011 SAPT Block Grant Application, providers and the general public have
approximately three weeks to review the application and provide comments, ask
questions, or suggest changes by contacting a designated ODMHSAS staff member.
Comments are submitted to the substance abuse services management team and the
Deputy Commissioner of Substance Abuse Services for review. Final revisions are made
to the application and it is then submitted to SAMHSA by the October 1 deadline.
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Planning Checklist
Criteria for Allocating Funds
Use the following checklist to indicate the criteria your State will use
how to allocate FY 2011-2013 Block Grant funds. Mark all criteria that
apply. Indicate the priority of the criteria by placing numbers in the
boxes. For example, if the most important criterion is 'incidence and
prevalence levels', put a '1' in the box beside that option. If two or
more criteria are equal, assign them the same number.
2 Population levels, Specify formula:
Underserved Populations
2 Incidence and prevalence levels
Problem levels as estimated by alcohol/drug-related crime statistics
1 Problem levels as estimated by alcohol/drug-related health statistics
2 Problem levels as estimated by social indicator data
1 Problem levels as estimated by expert opinion
Resource levels as determined by (specify method)
1 Size of gaps between resources (as measured by)
State and Federal Resources
and needs (as estimated by)
Waiting Lists
Other (specify method)
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Form 4 (formerly Form 8)
Treatment Needs Assessment Summary Matrix
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Central 439,074 30,823 1,849 1,317 79 15,440 926 1,812 1,843 2,264 3.19 3.42 1.82
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
East
Central 391,386 27,475 1,649 1,174 70 13,987 839 2,319 1,860 2,876 3.32 0 2.04
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Northeast 472,552 33,173 1,990 1,418 85 16,674 1,000 2,378 2,129 2,963 3.39 1.90 2.96
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Northwest 194,314 13,641 818 583 35 6,808 409 850 882 1,056 2.57 0 5.15
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A. B. A. B. A. B. A. B. C. Other: A. B. C.
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Needing
treatment
services
That
would
seek
treatment
Needing
treatment
services
That
would
seek
treatment
Needing
treatment
services
That
would
seek
treatment
Number
of
DWI
arrests
Number
of
drug-related
arrests
Drunkenness
Hepatitis
B
/100,000
AIDS/
100,000
Tuberculosis
/100,000
Oklahoma
County 819,177 57,506 3,450 2,458 147 29,475 1,769 3,866 5,043 4,784 2.56 4.76 2.81
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Southeast 437,873 30,739 1,844 1,314 79 15,548 933 3,562 3,504 4,393 3.20 0.69 4.11
1. Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Southwest 330,713 23,216 1,393 992 60 11,429 686 1,618 1,598 1,999 3.63 0 2.12
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
Tulsa
County 601,961 42,258 2,535 1,806 108 21,568 1,294 3,118 3,770 3,853 4.49 5.81 2.33
1.
Substate
Planning
Area
2. Total
Population
3. Total Population
in need
4. Number of IVDUs
in need
5. Number of
women in need
Calendar Year: 2008
6. Prevalence of
substance-related
criminal activity
7. Incidence of
communicable diseases
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Needing
treatment
services
B.
That
would
seek
treatment
A.
Number
of
DWI
arrests
B.
Number
of
drug-related
arrests
C. Other:
Drunkenness
A.
Hepatitis
B
/100,000
B.
AIDS/
100,000
C.
Tuberculosis
/100,000
State
Total 3,687,050 258,831 15,530 11,061 664 130,928 7,856 19,523 20,629 24,188 3.31 2.74 2.77
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Form 5 (formerly Form 9)
Treatment Needs by Age, Sex, and Race/ Ethnicity
AGE
GROUP
A.
Total B. White
C. Black or
African
American
D. Native
Hawaiian
/ Other
Pacific
Islander E. Asian
F. American
Indian /
Alaska
Native
G. More
than one
race
reported
H.
Unknown
I. Not Hispanic
Or Latino
J. Hispanic
Or Latino
M F M F M F M F M F M F M F M F M F
17
Years
Old and
Under
27,090 10,178 9,793 1,323 1,267 13 12 216 201 1,322 1,284 763 718 0 0 12,318 11,680 1,496 1,596
18 - 24
Years
Old
78,814 29,848 28,443 4,211 3,691 42 34 912 763 3,733 3,657 1,768 1,712 0 0 37,064 34,245 3,450 4,055
25 - 44
Years
Old
61,549 23,800 24,397 2,589 2,499 42 30 671 675 2,448 2,478 949 971 0 0 27,904 27,671 2,596 3,379
45 - 64
Years
Old
59,700 23,972 25,314 1,829 2,054 17 16 366 481 1,871 2,094 794 892 0 0 27,618 29,455 1,232 1,396
65 and
Over 31,892 11,936 15,850 568 841 6 6 104 166 669 909 352 485 0 0 13,269 17,941 365 315
Total 259,045 99,734103,79710,52010,352 120 982,2692,28610,04310,422 4,626 4,778 0 0 118,173120,992 9,13910,741
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How your State determined the estimates for Form 4 and Form 5 (formerly Form 8
and Form 9)
How your State determined the estimates for Form 4 and Form 5 (formerly Form 8 and Form 9)
Under 42 U.S.C. §300x-29 and 45 C.F.R. §96.133, States are required to submit annually a needs assessment.
This requirement is not contingent on the receipt of Federal needs assessment resources. States are required to
use the best available data. Using up to three pages, explain what methods your State used to estimate the
numbers of people in need of substance abuse treatment services, the biases of the data, and how the State
intends to improve the reliability and validity of the data. Also indicate the sources and dates or timeframes for
the data used in making these estimates reported in both Forms 4 and 5. This discussion should briefly describe
how needs assessment data and performance data is used in prioritization of State service needs and informs
the planning process to address such needs. The specific priorities that the State has established should be
reported in Form 7. State priorities should include, but are not limited to the set of Federal program goals
specified in the Public Health Service Act. In addition, provide any necessary explanation of the way your State
records data or interprets the indices in columns 6 and 7, Form 4.
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FORM 8 AND FORM 9 ESTIMATION METHODOLOGY
Estimates for treatment need in Oklahoma have been derived primarily through
the latest National Surveys on Drug Use and Health data for Oklahoma.
1. Data from the ODMHSAS Integrated Client Information System (ICIS)
were used to estimate the number in need of treatment among persons 11
years of age or younger.
2. SAMHSA’s State Estimates of Substance Use from the 2006-2007
National Surveys on Drug Use and Health (NSDUH) report
(http://www.oas.samhsa.gov/2k8state/stateTabs.htm) was used as a data
source to estimate treatment needs among persons 12 years of age or
older.
3. The number that would seek treatment was estimated to be six percent of
those in need of treatment but not currently being served based on a news
release from the U.S. DHHS, September 5, 2003 “22 Million in U.S. Suffer
from Substance Dependence or Abuse,”
(http://www.samhsa.gov/news/newsreleases/030905nrNSDUH.htm).
4. The number of injection drug users in need of treatment (0.3%) was
estimated using SAMHSA’s 2002-2003 National Surveys on Drug Use and
Health (http://www.oas.samhsa.gov/2k5/ivdrug/ivdrug.cfm).
5. Statistics from the Oklahoma State Bureau of Investigation’s (OSBI)
Uniform Crime Report (2008) were used to report substance-related
criminal activity.
6. Statistics collected in 2009, at the Oklahoma State Department of Health
(OSDH) Surveillance and Analysis Program HIV/STD Service and Acute
Disease Service were used to report the incidence of communicable
diseases.
FORM 8 – TREATMENT NEEDS ASSESSMENT SUMMARY MATRIX
TOTAL POPULATION IN NEED:
Needing Treatment Services: For youth age 11 and younger, no data were
available from the NSDUH. Estimates for those youth were derived using 2009
treatment data in ICIS. All clients, 11 years old or younger, served under an
ODMHSAS substance abuse funding source in 2009, who did not have a
presenting problem as a dependent child of a substance abuse client or co-dependent
of a substance abuser, were considered to be seeking treatment. It
was assumed that the 4 youth who received publicly-funded substance abuse
treatment in 2008 represented the six percent of those in need of treatment.
Therefore, an estimated 0.008 percent of youth in Oklahoma, 11 years of age or
younger were in need of treatment.
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Estimates of past year alcohol or illicit drug dependence or abuse (NSDUH,
2007) were used to calculate the number of persons 12 years of age or older in
need of treatment in Oklahoma. The estimates specific to each age group were
applied to the 2009 Oklahoma population estimates (12 to 17, 7.32%; 18 to 25,
19.35%; 26 or Older, 6.53%). Those estimates were allocated to sub-state
regions, and sex, race and origin categories.
That Would Seek Treatment: It is estimated that over 94 percent of people with
substance use disorders who did not receive treatment did not believe they
needed treatment (see source above). Therefore, it was estimated that six
percent of people in need of treatment would seek treatment.
NUMBER OF IDUs IN NEED
Needing Treatment Services: A national estimate of injection drug users from
the NSDUH, 2003, was used to estimate the number of IDUs in need of
treatment. The estimate (0.3%) was allocated to each of the eight sub-state
planning areas.
That Would Seek Treatment: Using the source previously described, it was
estimated that six percent of intravenous drug users would seek treatment.
NUMBER OF WOMEN IN NEED
Needing Treatment Services: Estimates for the number of women in need of
treatment were derived in the same manner as described above for the total
population in need.
That Would Seek Treatment: Estimates for the number of women who would
seek treatment were derived in the same manner as described above for the total
population.
PREVALENCE OF SUBSTANCE-RELATED CRIMINAL ACTIVITY
Data for substance-related criminal activity were obtained from the Oklahoma
State Bureau of Investigation’s (OSBI) 2008 Uniform Crime Report.
Number of DWI Arrests: The number of arrests for “driving under the influence”
in Oklahoma during 2008 is reported in lieu of “driving while intoxicated.”
“Driving under the influence” is defined as driving or operating any motor vehicle
while drunk or under the influence of liquor or drugs.
Number of Drug-Related Arrests: The number of arrests in Oklahoma during
2008 for “possession, distribution, sale or manufacture of illegal drugs” is
reported.
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Other: Drunkenness: The OSBI normally classified “Alcohol-related Arrests” as
arrests for driving under the influence, liquor law violations, and drunkenness
(drunk and disorderly). Since DUI arrests are presented elsewhere and liquor
law violations do not necessarily represent treatment-related issues,
drunkenness has been included as a separate category in this report.
INCIDENCE OF COMMUNICABLE DISEASES
The rates per 100,000 population were generated for the state and each sub-state
region from data provided by the Oklahoma State Department of Health.
The number of new acute Hepatitis B, reported AIDS and new Tuberculosis
cases during calendar year 2009 are utilized.
FORM 9 – TREATMENT NEEDS BY AGE, SEX, AND RACE/ETHNICITY
The methodology employed to complete this report is reported above under Form
8.
EVALUATION OF METHODOLOGY
The estimates of need and demand obtained through the methodology described
have a number of potential failings. The NSDUH data are probably not
representative of Oklahoma at the sub-state level for state specific data or for
each sex, race and origin category reported on Form 9. Consequently, estimates
based on those data will be biased toward conformance with estimates at the
state level. Estimates for IDUs were based on national estimates and are
therefore not representative of state rates.
Estimates for persons under 12 years old suffer from a complete lack of data.
Publicly-funded treatment delivery data are poor substitutes for measures of
statewide treatment need.
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Form 6 (formerly Form 11)
INTENDED USE PLAN
(Include ONLY Funds to be spent by the agency administering the block grant. Estimated data are
acceptable on this form)
SOURCE OF FUNDS
(24 Month Projections)
Activity A.SAPT
Block Grant
FY 2011
Award
B.Medicaid
(Federal,
State and
Local)
C.Other
Federal
Funds (e.g.,
Medicare,
other public
welfare)
D.State
Funds
E.Local
Funds
(excluding
local
Medicaid)
F.Other
Substance Abuse
Prevention* and
Treatment
$ 13,285,655 $ 1,352,746 $ 17,641,826 $ 73,656,242 $ $
Primary Prevention $ 3,542,841 $ 3,440,072 $ 1,767,576 $ $
Tuberculosis
Services $ 0 $ $ $ $ $
HIV Early
Intervention Services $ 0 $ $ $ $ $
Administration:
(Excluding
Program/Provider
Lvl)
$ 885,710 $ $ 8,318,198 $ $
Column Total $17,714,206 $1,352,746 $21,081,898 $83,742,016 $0 $0
*Prevention other than Primary Prevention
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Activity
Block
Grant FY
2011
Other
Federal
State
Funds
Local
Funds Other
Information Dissemination $ 637,711 $ 619,213 $ 318,164 $ $
Education $ 106,285 $ 103,202 $ 53,028 $ $
Alternatives $ 53,142 $ 51,601 $ 26,513 $ $
Problem Identification &
Referral $ 17,714 $ 17,200 $ 8,837 $ $
Community Based Process $ 2,207,420 $ 2,201,647 $ 1,131,249 $ $
Environmental $ 460,569 $ 447,209 $ 229,785 $ $
Other $ 0 $ 0 $ 0 $ $
Section 1926 - Tobacco $ 60,000 $ 0 $ 0 $ $
Column Total $3,542,841 $3,440,072 $1,767,576 $0 $0
Activity
Block
Grant FY
2011
Other
Federal
State
Funds
Local
Funds Other
Universal Direct $ 743,997 $ 722,415 $ 371,191 $ $
Universal Indirect $ 2,798,844 $ 2,717,657 $ 1,396,385 $ $
Selective $ 0 $ $ $ $
Indicated $ 0 $ $ $ $
Column Total $3,542,841 $3,440,072 $1,767,576 $0 $0
Form 6ab (formerly Form 11ab)
Form 6a. Primary Prevention Planned Expenditures Checklist
Form 6b. Primary Prevention Planned Expenditures Checklist
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Form 6c (formerly Form 11c)
Resource Development Planned Expenditure Checklist
Did your State plan to fund resource development activities with FY
2011 funds?
Yes No
Activity Treatment Prevention
Additional
Combined Total
Planning, Coordination and
Needs Assessment $ 320,000 $ 80,000 $ 0 $ 400,000
Quality Assurance $ 250,000 $ 65,000 $ 0 $ 315,000
Training (post-employment) $ 265,000 $ 65,000 $ 0 $ 330,000
Education (pre-employment) $ 0 $ 0 $ 0 $ 0
Program Development $ 0 $ 0 $ 0 $ 0
Research and Evaluation $ 0 $ 0 $ 0 $ 0
Information Systems $ 25,000 $ 0 $ 0 $ 25,000
Column Total $860,000 $210,000 $0 $1,070,000
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Purchasing Services
This item requires completing two checklists.
Methods for Purchasing
There are many methods the State can use to purchase substance abuse services. Use the following checklist to describe how your State will purchase services
with the FY 2011 block grant award. Indicate the proportion of funding that is expended through the applicable procurement mechanism.
Competitive grants Percent of Expense: %
Competitive contracts Percent of Expense: 20 %
Non-competitive grants Percent of Expense: %
Non-competitive contracts Percent of Expense: 80 %
Statutory or regulatory allocation to governmental agencies serving as umbrella agencies that purchase or directly operate services Percent of Expense: %
Other Percent of Expense: %
(The total for the above categories should equal 100 percent.)
According to county or regional priorities Percent of Expense: %
Methods for Determining Prices
There are also alternative ways a State can decide how much it will pay for services. Use the following checklist to describe how your State pays for services.
Complete any that apply. I n addressing a State's allocation of resources through various payment methods, a State may choose to report either the proportion of
expenditures or proportion of clients served through these payment methods. Estimated proportions are acceptable.
Line item program budget Percent of Clients Served: %
Percent of Expenditures: 20 %
Price per slot Percent of Clients Served: %
Percent of Expenditures: %
Rate: $ Type of slot:
Rate: $ Type of slot:
Rate: $ Type of slot:
Price per unit of service Percent of Clients Served: %
Percent of Expenditures: 80 %
Unit: OP/group couns/15 min Rate: $ 9.28
Unit: Res/adult/per day Rate: $ 74
Unit: Res/WWC/per day Rate: $ 95
Per capita allocation (Formula: )
Percent of Clients Served: %
Percent of Expenditures: %
Price per episode of care Percent of Clients Served: %
Percent of Expenditures: %
Rate: $ Diagnostic Group:
Rate: $ Diagnostic Group:
Rate: $ Diagnostic Group:
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Program Performance Monitoring
On-site inspections
Frequency for treatment: ANNUALLY
Frequency for prevention: ANNUALLY
Activity Reports
Frequency for treatment: NONE SELECTED
Frequency for prevention: NONE SELECTED
Management Information System
Patient/participant data reporting system
Frequency for treatment: NONE SELECTED
Frequency for prevention: NONE SELECTED
Performance Contracts
Cost reports
Independent Peer Review
Licensure standards - programs and facilities
Frequency for treatment: OTHER Every three years or sooner as needed
Frequency for prevention: NOT APPLICABLE
Licensure standards - personnel
Frequency for treatment: OTHER Ongoing
Frequency for prevention: OTHER Ongoing
Other:
Specify:
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Form 7
State Priorities
State Priorities
1
Promote the well-being of Oklahomans by encouraging
prevention specialists and consumer services providers
to actively participate in the primary healthcare delivery
system through health information technology.
2
Create prevention capable communities utilizing the
Stratregic Prevention Framework where individuals,
families, schools, workplaces, and communities have the
capacity and infrastructure to prevent and reduce
substance abuse across the lifespan.
3
Prevent the onset and prevent/reduce the problems
associated with the use of alcohol, tobacco and other
drugs across the lifespan as identified and measured
using epidemiological data.
4
Increase the use of prevention and treatment services
that are evidence-based, implemented with fidelity and
evaluated for effectiveness.
5
Expand the capacity of prevention and treatment
providers to meet the behavioral health needs of diverse
individuals and communities in a timely, culturally
competent, trauma-informed manner that promotes
recovery and an improved quality of life.
6
Develop systematic processes for analyzing data and
establishing data-driven policy decision methods to
effectively utilize prevention and treatment reseources,
improving the quality of services and outcomes for
individuals, families and communities.
7
Actively seek opportunities to collaborate and coordinate
efforts with community stakeholders within the state to
address homelessness.
8
Divert individuals with substance abuse and mental health
disorders from criminal and juvenile justice systems into
trauma-informed treatment and recovery.
9
Enhance support systems for Oklahoma military families,
connecting service members and families to supportive
and knowledgeable peers, and providing appropriate
referrals for behavioral health systems.
10
Actively promote health insurance reform for the
prevention and treatment of substance abuse disorders
to reduce current disparities.
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Goal #1: Improving access to Prevention and Treatment Services
The State shall expend block grant funds to maintain a continuum of substance abuse prevention and
treatment services that meet these needs for the services identified by the State. Describe the continuum of
block grant-funded prevention (with the exception of primary prevention; see Goal # 2 below) and treatment
services available in the State (See 42 U.S.C. §300x-21(b) and 45 C.F.R. §96.122(f)(g)).
Note: In addressing this narrative the State may want to discuss activities or initiatives related to: Providing
comprehensive services; Using funds to purchase specialty program(s); Developing/maintaining contracts
with providers; Providing local appropriations; Conducting training and/or technical assistance;
Developing needs assessment information; Convening advisory groups, work groups, councils, or boards;
Providing informational forum(s); and/or Conducting provider audits.
FY 2011- FY 2013 (Intended Use/Plan):
FY 2008 (Annual Report/Compliance):
FY 2010 (Progress):
OK / SAPT FY2011
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GOAL # 1. Improving access to prevention and treatment services: The State shall
expend block grant funds to maintain a continuum of substance abuse
prevention and treatment services that meet these needs for the services
identified by the State. Describe the continuum of block grant-funded
prevention (with the exception of primary prevention: see goal #2 below)
and treatment services available in the State (See 42 U.S.C. §300x-21(b)
and 45 C.F.R. §96.122(f)(g)).
FY 2011-FY2013 (Intended Use/Plan):
The Oklahoma Department of Mental Health and Substance Abuse Services
(ODMHSAS) will utilize block grant funding, grants and contracts, and state
appropriations to maintain a continuum of substance abuse treatment services within the
State.
Oklahoma will spend approximately 75% of the FFY 2011 block grant award on alcohol
and drug treatment services. The ODMHSAS will continue to contract with private, non-profit
and for-profit, certified agencies to provide detoxification, residential, halfway
house, outpatient, intensive outpatient, and early intervention services with substance
abuse block grant funds and state appropriations. These agencies include substance
abuse treatment facilities, community mental health centers, community action agencies,
youth and family services agencies, and Native American programs. Services will be
offered in facilities which serve males and/or females, women with children, and
adolescents. Three ODMHSAS-operated agencies will continue to provide residential
services. In addition, other public agencies will continue to provide contracted services
including the University of Oklahoma Health Sciences Center which provides screening,
assessment, and treatment planning for children with Fetal Alcohol Spectrum (FAS).
Substance abuse treatment programs are expected to treat approximately 22,000
consumers during this fiscal year.
The Department will continue to provide early intervention services through public
schools. Services will include working with school personnel and parents to develop
drug free strategies with high-risk or substance using students, educational programs,
screening and assistance with therapeutic linkages as needed. These programs will be
funded through state and federal treatment monies. In addition, a pilot program has been
initiated involving three Charter Schools and three contract adolescent substance abuse
providers to provide an evidence-based early intervention curriculum within the school
setting and communities utilizing state funds. This is an effort to expand services to an
at-risk and underserved population, within their communities. The ODMHSAS will
strive to sustain funding for programs and to continue to collect outcomes and determine
how these programs could be replicated.
Oklahoma is invested in expanding the practice of case management within the substance
abuse field by providing continual training and technical assistance. Standards have been
revised to require anyone providing case management to be a Certified Behavioral Health
Case Manager. Integrated, strength-based, person-centered case management plays an
FY 2011 - FY 2013 (INTENDED USE/PLAN)
OMB No. 0930-0080 Approved: 07/20/2010 Expires: 07/31/2013 Page 50 of 311
important role in treatment programs by linking consumers to needed services such as
employment, education, vocational skill development, child care, and health care. The
ODMHSAS case management staff will continue to explore ways to increase the
knowledge base and skill level for Certified Behavioral Health Case Managers through
training opportunities.
Oklahoma will continue to require standardized consumer evaluations, an individualized
approach to treating the consumer, family involvement if appropriate, case management,
the use of evidence-based practices, relapse prevention and connecting the consumer to
community self-help groups.
Oklahoma will continue monitoring provider programs by assigning each state-operated
and contract treatment program to a Field Services Coordinator (FSC). The FSC will
continue to be the primary contact for their assigned providers and responsible for linking
them with other appropriate ODMHSAS staff as needed, visiting the agency, conducting
site reviews, developing plans of correction and technical assistance needs for each
agency, as well as reviewing provider staffing, services and performance reports.
Technical assistance will be provided by the FSC or other Department staff, or through
workshops at meeting/conferences, as needed per the findings of the site review or as
requested by the provider. This monitoring approach allows the FSC to develop a
partnership with their providers and facilitates opportunities for discussions and
additional technical assistance to improve the quality of care provided for consumers.
Continued collaboration with the Oklahoma Department of Human Services (OKDHS)
TANF program will benefit both agencies’ consumers. OKDHS will provide TANF
funding to the ODMHSAS to subcontract with certified treatment agencies. Contracted
agencies will provide screening, assessment, and outpatient substance abuse services to
consumers receiving or making application for Temporary Assistance to Needy Families
(TANF) and individuals who have Child Welfare (CW) involvement. These services
provide valuable early intervention in many cases that will allow families to stay
together. The ODMHSAS will provide training, technical assistance, and program
monitoring. Immediate Access and other initiatives with TANF or Child Welfare
participants will continue to be pursued as a means of providing substance abuse services
to more individuals in need of treatment.
The ODMHSAS will continue to collaborate with the Oklahoma Health Care Authority
(OHCA), the state’s Medicaid agency, to access Medicaid funding for substance abuse
services. The Consolidated Claims Process (CCP) will allow service providers to submit
both ODMHSAS service invoices and Medicaid claims into one system. The system will
determin